Individual
CHARLES MASON OLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
25 MAIN ST, AUSTIN RIGGS CENTER, STOCKBRIDGE, MA 01262
(413) 931-5239
Mailing address
PO BOX 1105, STOCKBRIDGE, MA 01262-1105
(413) 931-5239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
023893
NY
103TC0700X
Clinical Psychologist
11490
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/15/2021
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