Kallusch, Charlene Blanchard
Kallusch, Charlene Blanchard is an individual health care provider with primary practice located at 1344 Wintergreen Ln Ne , Bainbridge Island WA 98110-5147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kallusch, Charlene Blanchard can be contacted via phone (206) 842-5632.Contact Information
Primary practice address
1344 Wintergreen Ln Ne
Bainbridge Island WA 98110-5147
Phone: (206) 842-5632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY24134 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY61400544 | Washington |
Profile Details
| NPI number | 1538359179 |
|---|---|
| LBN Legal business name | Kallusch, Charlene Blanchard |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538359179 | NPPES |
| California | Other | 01CR | MEDI-CAL |
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