Individual
DR. CHARLES J SLAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16 CLARKE ST, SUITE 21, LEXINGTON, MA 02421-4988
(781) 402-2442
Mailing address
16 CLARKE ST, SUITE 21, LEXINGTON, MA 02421-4988
(781) 402-2442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4833
MA
Other
Enumeration date
02/04/2006
Last updated
06/11/2008
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