Individual
DR. CHARLES JOHN DRAKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Mailing address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21245
CA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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