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

DR. GREGORY J. CHARBONEAU, EDD, BCN, BCB

Active Sole Proprietor

DR. GREGORY J. CHARBONEAU, EDD, BCN, BCB is a Clinical Neuropsychologist healthcare provider located in SPOKANE, Washington. NPI 1790773463 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · SPOKANE, WA

Registration Details

NPI Number
1790773463
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2005 (20.810720518561 yrs)
Last Updated
Nov 14, 2012
Licenses
2046 (WA)
WA.LIC2046 (WA)
Sole Proprietor
Yes

Practice Information

Address
3157 E. 17TH AVENUE
SPOKANE, WA, 992235136
Browse WA providers · Browse ZIP 99223
Phone
5098388066
Fax
8005948305
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
Additional Specialty
Psychologist
Additional Specialty
Child, Clinical Psychologist

Other Clinical Neuropsychologist Providers in SPOKANE, WA

Name Credential NPI
MRS. CHRISTINE RICHELLE GUZZARDO PH.D. 1144212457
DR. BRIAN ROSS CAMPBELL PH.D. 1245223270
DR. ANGELIQUE GRAYSON TINDALL PHD 1912997800
DEBRA D BROWN PHD 1225143654
DR. RONALD M KLEIN PH.D. 1396891818
DR. ELIZABETH ANN ZIEGLER PH.D. 1932241940
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.