Davidson, Charme S.

Davidson, Charme S. is an individual health care provider with primary practice located at 1409 Willow St Suite 220, Minneapolis MN 55403-2269. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Davidson, Charme S. can be contacted via phone (612) 870-0510.

Contact Information

Primary practice address
1409 Willow St Suite 220 Minneapolis MN 55403-2269
Phone: (612) 870-0510
Fax: (612) 870-4542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2642 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT0245 Minnesota

Profile Details

NPI number 1285687889
LBN Legal business name Davidson, Charme S.
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285687889 NPPES
Minnesota MEDICAID 6275478000
Minnesota Other LP2642
Minnesota Other 0245
Minnesota Other 3962

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