Brake, Charles Alexander

Brake, Charles Alexander is an individual health care provider with primary practice located at 830 Chalkstone Ave Bldg 14 , Providence RI 02908-4734. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brake, Charles Alexander can be contacted via phone (401) 273-7100.

Contact Information

Primary practice address
830 Chalkstone Ave Bldg 14 Providence RI 02908-4734
Phone: (401) 273-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1558941963
LBN Legal business name Brake, Charles Alexander
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2021
Last updated Apr 9th, 2021 - about 4 years ago

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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