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

CHARLES CLARK ERTL, PH.D.

Active Sole Proprietor

CHARLES CLARK ERTL, PH.D. is a Psychologist healthcare provider located in SAN DIEGO, California. NPI 1356375729 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SAN DIEGO, CA

Registration Details

NPI Number: 1356375729
Provider Type: Individual
Gender: Male
NPI Issued: Jul 10, 2006 (20.094801000353 yrs)
Last Updated: Jul 8, 2007
License: PSY15479 (CA)
Sole Proprietor: Yes

Practice Information

Address: 10981 SAN DIEGO MISSION RD

SUITE 114

SAN DIEGO, CA, 921082448
Browse CA providers · Browse ZIP 92108
Phone: 6192862687
Fax: 6192862687
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in SAN DIEGO, CA

Name	Credential	NPI
DR. DAVID ALAN BOUCHER	PH.D.	1518966340
DR. NANCY BETH LOVELL	PH.D.	1679566236
JANET LYNN WILSON	MFT	1447244611
DR. PAUL MCCOLES WHITAKER	PHD	1356339964
DR. LINDA ALTES	PH.D.	1417947235
DR. MILENA M COMBARIZA	PHD	1215911425

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.