Individual
DR. BRIAN GARY CHARLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-4099
Mailing address
42100 WINCHESTER WAY, COARSEGOLD, CA 93614-9654
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY15787
CA
Other
Enumeration date
01/18/2007
Last updated
07/09/2007
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