Individual
DR. CHARLES N. CHEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
Mailing address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 16804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY16804
STATE PSYCHOLOGY LICENSE
CA
Enumeration date
03/01/2007
Last updated
07/08/2007
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