Charles Glenn Doyle in Joplin - Clinical

Charles Glenn Doyle - NPI 1821073909

Charles Glenn Doyle is a Clinical in Joplin, Missouri. Charles Glenn Doyle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Glenn Doyle is 1821073909. The last update date is 2013-09-11.

Charles Glenn Doyle's current location address is 1230 N Duquesne Rd, Joplin, Missouri. You can contact this provider via phone number 4177821443 and fax number 4177823240. The mailing address for Charles Glenn Doyle is 1230 N Duquesne Rd, Joplin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Glenn Doyle
Address 1230 N Duquesne Rd, Joplin, Missouri
Phone Number 4177821443
Fax Number 4177823240
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1821073909
Provider Enumeration Date 2005-12-12
Last Updated Date 2013-09-11

Provider Mailing Address Detail

Address 1230 N Duquesne Rd
City Joplin
State Missouri (MO)
Post Code 648011509
Phone Number 4177821443
Fax Number 4177823240

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2004033755
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
495853517 MO --

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FAQs about Charles Glenn Doyle

What is the Charles Glenn Doyle's unique identification number?

The Charles Glenn Doyle has been assigned the NPI (National Provider Identifier) Number 1821073909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Charles Glenn Doyle's facilities are situated?

The facilities of Charles Glenn Doyle are physically located at the following address: 1230 N Duquesne Rd, Joplin, MO, 648011509.

What is Charles Glenn Doyle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles Glenn Doyle is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821073909 to Charles Glenn Doyle?

The Centers for Medicare & Medicaid Services assigned the 1821073909 to Charles Glenn Doyle on 2005-12-12.

When was the information pertaining to Charles Glenn Doyle most recently updated or revised?

The details related to Charles Glenn Doyle, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-11.

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