Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES B MOODY, LSW-C
ActiveCase Manager · HOULTON, ME
Registration Details
- NPI Number
- 1083824585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (18.915358538432 yrs)
- Last Updated
- Oct 9, 2014
- License
-
LSX7340 (ME)
Practice Information
- Address
-
2 WATER STHOULTON, ME, 047302126Browse ME providers · Browse ZIP 04730
- Phone
- 2075325510
- Fax
- 2075325518
- Primary Specialty
-
Case Manager
171M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.