Marilyn Charles is a Clinical in Stockbridge, Massachusetts. Marilyn Charles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marilyn Charles is 1861544801. The last update date is 2007-07-08.
Marilyn Charles's current location address is 25 Main Street, Stockbridge, Massachusetts. You can contact this provider via phone number 4139315233 and fax number 4132984020. The mailing address for Marilyn Charles is 25 Main Street, Stockbridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Charles |
|---|---|
| Address | 25 Main Street, Stockbridge, Massachusetts |
| Phone Number | 4139315233 |
| Fax Number | 4132984020 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1861544801 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 Main Street |
|---|---|
| City | Stockbridge |
| State | Massachusetts (MA) |
| Post Code | 12620962 |
| Phone Number | 4139315233 |
| Fax Number | 4132984020 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8495 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Marilyn Charles by the Centers for Medicare & Medicaid Services (CMS)?
The Marilyn Charles has been assigned the NPI (National Provider Identifier) 1861544801. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Marilyn Charles?
The Marilyn Charles is physically situated at 25 Main Street, in the city of Stockbridge, state of MA, with the postal code 12620962.
What is Marilyn Charles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marilyn Charles's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Marilyn Charles receive its 1861544801 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn Charles was assigned its 1861544801 on 2007-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Marilyn Charles last refreshed?
The information related to the Marilyn Charles, including its address, specialty, and other relevant details, was last updated on 2007-07-08.