Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES DAVID RICHARDSON II, D.O.
Active Sole ProprietorDR. CHARLES DAVID RICHARDSON II, D.O. is a Neurodevelopmental Disabilities (Psychiatry) healthcare provider located in HATTIESBURG, Mississippi. NPI 1942640388 is currently active in the NPPES registry. Verify at CMS.
Neurodevelopmental Disabilities (Psychiatry) · HATTIESBURG, MS
Registration Details
- NPI Number
- 1942640388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2013 (13.149204436326 yrs)
- Last Updated
- Feb 24, 2025
- Licenses
-
24662 (MS)24662 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2117 BROADWAY DRIVEHATTIESBURG, MS, 394023210Browse MS providers · Browse ZIP 39402
- Phone
- 6012888050
- Fax
- 6012888058
- Primary Specialty
-
Neurodevelopmental Disabilities (Psychiatry)
2084P0005X
- Additional Specialty
- Neurodevelopmental Disabilities (Psychiatry)
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.