Individual
DR. CHARLES R. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
30 AIRPORT RD, SOUTH BURLINGTON, VT 05403-6432
(802) 658-0040
(802) 658-0216
Mailing address
30 AIRPORT RD, SOUTH BURLINGTON, VT 05403-6432
(802) 658-0040
(802) 658-0216
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
048.0000691
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048.0000691
STATE OF VT BOARD OF PSYCHOLOGICAL EXAMINERS PSYCHOLOGIST -DOCTORATE
VT
Enumeration date
08/31/2017
Last updated
07/21/2022
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