Individual
DR. CHARMAINE COLLINS CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
550 S VERMONT AVE FL 10, LOS ANGELES, CA 90020-1912
(562) 308-8105
Mailing address
6216 E PACIFIC COAST HWY # 140, LONG BEACH, CA 90803-4867
(562) 308-8105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20737
CA
Other
Enumeration date
05/08/2007
Last updated
03/31/2021
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