Individual
DR. CHARLES EDWARD STREFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
532 GREAT RD, ACTON, MA 01720-3415
(978) 263-0439
(978) 486-3140
Mailing address
532 GREAT RD, ACTON, MA 01720-3415
(978) 263-0439
(978) 486-3140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2084
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084
STATE LICENSE FOR PSYCHOL
MA
01
—
W02302
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/03/2006
Last updated
07/08/2007
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