Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES CORNWALL JR., MA
ActiveMR. CHARLES CORNWALL JR., MA is a Psychologist healthcare provider located in TOWANDA, Pennsylvania. NPI 1730272618 is currently active in the NPPES registry. Verify at CMS.
Psychologist · TOWANDA, PA
Registration Details
- NPI Number
- 1730272618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.909955946675 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PS002239L (PA)
Practice Information
- Address
-
21 MAIN STTOWANDA, PA, 188481803Browse PA providers · Browse ZIP 18848
- Phone
- 5702652525
- Fax
- 5702651075
- Primary Specialty
-
Psychologist
103T00000X
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.