Individual
DR. CHARLES MICHAEL LEPKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1143 DEER TRAIL LN, SOLVANG, CA 93463-9519
(805) 688-1229
(805) 686-9382
Mailing address
1143 DEER TRAIL LN, SOLVANG, CA 93463-9519
(805) 688-1229
(805) 686-9382
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 9118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004226734
AETNA
CA
01
—
C107937
TRICARE
CA
01
—
CP9118
MEDICARE PTAN
—
Enumeration date
05/23/2005
Last updated
03/07/2011
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