Individual
DR. JUSTIN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1400 BLACKHORSE HILL RD BLDG 39, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
314 N BROAD ST, LITITZ, PA 17543-1011
(717) 466-9138
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017531
PA
Other
Enumeration date
01/27/2014
Last updated
12/15/2022
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