Maull, Charlotte Moore

Maull, Charlotte Moore is an individual health care provider with primary practice located at 1215 Volvo Pkwy Ste 202, Chesapeake VA 23320. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Maull, Charlotte Moore can be contacted via phone (757) 312-8550.

Contact Information

Primary practice address
1215 Volvo Pkwy Ste 202 Chesapeake VA 23320
Phone: (757) 312-8550
Fax: (757) 312-8553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701001746 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0812000813 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000828 Virginia

Profile Details

NPI number 1629063292
LBN Legal business name Maull, Charlotte Moore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
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 1629063292 NPPES
Virginia MEDICAID 5410738
Virginia Other 265827

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