Individual
DR. CHARLES ANTHONY BENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1728 W MARINE VIEW DR STE 109, EVERETT, WA 98201-2094
(425) 285-8353
(888) 240-5967
Mailing address
1728 W MARINE VIEW DR STE 109, EVERETT, WA 98201-2094
(425) 285-8353
(888) 240-5967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY.61155333
WA
Other
Enumeration date
10/04/2019
Last updated
12/29/2021
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