Gregory J. Charboneau in Spokane - Clinical Neuropsychologist
Gregory J. Charboneau - NPI 1790773463
Gregory J. Charboneau is a Clinical Neuropsychologist in Spokane, Washington. Gregory J. Charboneau practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gregory J. Charboneau is 1790773463. The last update date is 2012-11-14.
Gregory J. Charboneau's current location address is 3157 E. 17th Avenue, Spokane, Washington. You can contact this provider via phone number 5098388066 and fax number 8005948305. The mailing address for Gregory J. Charboneau is 3157 E. 17th Avenue, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory J. Charboneau |
|---|---|
| Address | 3157 E. 17th Avenue, Spokane, Washington |
| Phone Number | 5098388066 |
| Fax Number | 8005948305 |
| Sole Proprietor | Y |
| Credentials | EDD, BCN, |
NPI Number Detail
| NPI Number | 1790773463 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2012-11-14 |
Provider Mailing Address Detail
| Address | 3157 E. 17th Avenue |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992235136 |
| Phone Number | 5098388066 |
| Fax Number | 8005948305 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | WA.LIC2046 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80159590 | APA# |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory J. Charboneau by the Centers for Medicare & Medicaid Services?
The Gregory J. Charboneau has been issued the NPI (National Provider Identifier) 1790773463 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gregory J. Charboneau is physically located?
The Gregory J. Charboneau is situated at the following address: 3157 E. 17Th Avenue, Spokane, WA 992235136.
What is Gregory J. Charboneau's area of expertise and its corresponding taxonomy classification?
The Gregory J. Charboneau's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gregory J. Charboneau receive its 1790773463 assignment from the Centers for Medicare & Medicaid Services?
The Gregory J. Charboneau was assigned its 1790773463 by the Centers for Medicare & Medicaid Services on 2005-10-07.
As of what date were the details related to Gregory J. Charboneau most recently updated or revised?
The information pertaining to Gregory J. Charboneau, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-14.