Individual
CHARLES WILLIAM BRILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2678
(520) 873-3495
(520) 873-5162
Mailing address
350 N WILMOT RD, TUCSON, AZ 85711-2678
(520) 873-3495
(520) 873-5162
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1609
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020321
—
AZ
Enumeration date
01/16/2007
Last updated
03/16/2011
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