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CHARLES CARLISE EDD PSYCHOLOGIST NPI 1497948707


NPI Information

NPI: 1497948707
Provider Name: CHARLES CARLISE EDD PSYCHOLOGIST
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
2345 E THOMAS RD
SUITE 295
PHOENIX, AZ
ZIP 85016
Phone: (602) 622-2933
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CHARLES CARLISE EDD PSYCHOLOGIST is a public health or welfare in Phoenix, AZ. CHARLES CARLISE EDD PSYCHOLOGIST NPI is 1497948707. The provider is registered as an organization entity type.

The provider's business location address is:

2345 E THOMAS RD
SUITE 295
PHOENIX, AZ
ZIP 85016-848
Phone: (602) 622-2933
Fax: (602) 957-3063

The provider's authorized official is Charles Gasper Carlise .
The authorized official title is Psychologist and has the following contact phone number (602) 622-2933.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or Welfare3229ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.