Individual
DR. CHARLES WOODROW STYRON JR.
Active
Individual
DR. CHARLES WOODROW STYRON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6388
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526916
—
MA
01
—
103012
CIGNA
MA
01
—
330623
HARVARD PILGRIM HEALTH CA
MA
01
—
6153012
UNITED BEHAVIORAL HEALTH
MA
01
—
95899
MANAGED HEALTH CARE
MA
01
—
W05271
BLUE CROSS
MA
Enumeration date
01/31/2006
Last updated
07/30/2010
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