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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES HERMANN BOGDAHN, LCSW

Active Sole Proprietor

DR. CHARLES HERMANN BOGDAHN, LCSW is a Child, Clinical Psychologist healthcare provider located in MOUNT VERNON, Washington. NPI 1265770523 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · MOUNT VERNON, WA

Registration Details

NPI Number
1265770523
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2013 (13.517007204622 yrs)
Last Updated
Jan 8, 2023
License
#615 (HI)
Sole Proprietor
Yes

Practice Information

Address
1419 EAST COLLEGE WAY
MOUNT VERNON, WA, 98273
Browse WA providers · Browse ZIP 98273
Phone
8086883376
Fax
8089616819
Primary Specialty
Child, Clinical Psychologist
103TC2200X
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.