Individual
CHARLES S. MANSUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11227 LOCKWOOD DR, SILVER SPRING, MD 20901-4562
(301) 593-4040
(301) 593-9148
Mailing address
1809 KIMBERLY RD, SILVER SPRING, MD 20903-1218
(301) 593-9148
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
00910
MD
Other
Enumeration date
05/21/2007
Last updated
01/04/2010
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