Individual
DR. MARILYN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 MAIN STREET, STOCKBRIDGE, MA 01262-0962
(413) 931-5233
(413) 298-4020
Mailing address
25 MAIN STREET, P.O. BOX 962, STOCKBRIDGE, MA 01262-0962
(413) 931-5233
(413) 298-4020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301008887
MI
103TC0700X
Clinical Psychologist
Primary
8495
MA
103TC0700X
Clinical Psychologist
—
IL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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