Ingrid Elise Mattson-Charnle in West Roxbury - Clinical
Ingrid Elise Mattson-Charnle - NPI 1902978109
Ingrid Elise Mattson-Charnle is a Clinical in West Roxbury, Massachusetts. Ingrid Elise Mattson-Charnle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ingrid Elise Mattson-Charnle is 1902978109. The last update date is 2007-07-08.
Ingrid Elise Mattson-Charnle's current location address is 1895 Centre St, West Roxbury, Massachusetts. You can contact this provider via phone number 6173275535 and fax number 6173277696. The mailing address for Ingrid Elise Mattson-Charnle is 1895 Centre St, West Roxbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ingrid Elise Mattson-Charnle |
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Address | 1895 Centre St, West Roxbury, Massachusetts |
Phone Number | 6173275535 |
Fax Number | 6173277696 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1902978109 |
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Provider Enumeration Date | 2006-11-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1895 Centre St |
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City | West Roxbury |
State | Massachusetts (MA) |
Post Code | 21321933 |
Phone Number | 6173275535 |
Fax Number | 6173277696 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 7722 |
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 Ingrid Elise Mattson-Charnle's 1902978109?
The Ingrid Elise Mattson-Charnle's NPI (National Provider Identifier) Number is 1902978109. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ingrid Elise Mattson-Charnle's facilities are situated?
The facilities of Ingrid Elise Mattson-Charnle are physically located at the following address: 1895 Centre St, West Roxbury, MA, 21321933.
What is Ingrid Elise Mattson-Charnle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ingrid Elise Mattson-Charnle's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Ingrid Elise Mattson-Charnle receive its 1902978109 assignment from the Centers for Medicare & Medicaid Services?
The Ingrid Elise Mattson-Charnle was assigned its 1902978109 on 2006-11-14, 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 Ingrid Elise Mattson-Charnle last refreshed?
The information related to the Ingrid Elise Mattson-Charnle, including its address, specialty, and other relevant details, was last updated on 2007-07-08.