Blunt, Charley S

Blunt, Charley S is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blunt, Charley S can be contacted via phone (707) 423-5174.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2240 Alabama

Profile Details

NPI number 1639665177
LBN Legal business name Blunt, Charley S
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jun 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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