Charlene Jesse Carlock in Dayton - Psychologist
Charlene Jesse Carlock - NPI 1902904295
Charlene Jesse Carlock is a Psychologist in Dayton, Ohio. Charlene Jesse Carlock practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charlene Jesse Carlock is 1902904295. The last update date is 2008-02-18.
Charlene Jesse Carlock's current location address is 1105 Watervliet Ave, Dayton, Ohio. You can contact this provider via phone number 9372560500 and fax number 9372562136. The mailing address for Charlene Jesse Carlock is 1105 Watervliet Ave, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Jesse Carlock |
|---|---|
| Address | 1105 Watervliet Ave, Dayton, Ohio |
| Phone Number | 9372560500 |
| Fax Number | 9372562136 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1902904295 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2008-02-18 |
Provider Mailing Address Detail
| Address | 1105 Watervliet Ave |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 45420 |
| Phone Number | 9372560500 |
| Fax Number | 9372562136 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2754 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 395770 | ANTHEM |
Post Comment/ Review Below
What is the Charlene Jesse Carlock's 1902904295?
The Charlene Jesse Carlock's NPI (National Provider Identifier) Number is 1902904295. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Charlene Jesse Carlock's facilities are geographically located?
The facilities of Charlene Jesse Carlock are physically situated at the following location: 1105 Watervliet Ave, Dayton, OH, 45420.
What is Charlene Jesse Carlock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charlene Jesse Carlock is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
When was the Charlene Jesse Carlock's 1902904295 issued?
The Charlene Jesse Carlock's 1902904295 was issued on 2006-09-20.
As of what date were the details pertaining to Charlene Jesse Carlock last refreshed?
The information related to the Charlene Jesse Carlock, including its address, specialty, and other relevant details, was last updated on 2008-02-18.
Address: Po Box 2333, Clay, NY
Address: 1106 N Cascade Ave, Colorado Springs, CO
Address: 4310 James Casey St, Austin, TX
Address: Po Box 1289, Tampa, FL
Address: 3525 Nw Sunset View Ter, Portland, OR
Address: 250 Pierce St, Kingston, PA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 1520 San Pablo St, Los Angeles, CA
Address: Po Box 3118, Sausalito, CA
Address: Po Box 2633, Baxter, MN
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 1935 County Road B2 W Ste 270, Roseville, MN
Address: 3355 Bee Caves Rd, Austin, TX
Address: 107 S Division St, Spokane, WA
Address: 7293 Dumosa Ave, Yucca Valley, CA