Gregory J. Charboneau in Spokane - Health

Gregory J. Charboneau - NPI 1790773463

Gregory J. Charboneau is a Health in Spokane, Washington. Gregory J. Charboneau practices all healthcare services and medical treatments related to Health. 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 Health
Taxonomy 103Th0004X
Definition:
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinica

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80159590 APA#

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FAQs about Gregory J. Charboneau

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 Health, and it falls under the taxonomy code 103Th0004X, 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.

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