Charles, Marilyn

Charles, Marilyn is an sole proprietor health care provider with primary practice located at 25 Main Street , Stockbridge MA 01262-0962. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Charles, Marilyn can be contacted via phone (413) 931-5233.

Contact Information

Primary practice address
25 Main Street Stockbridge MA 01262-0962
Fax: (413) 298-4020
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8495 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301008887 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1861544801
LBN Legal business name Charles, Marilyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers