Myers, Charles R.

Myers, Charles R. is an individual health care provider with primary practice located at 30 Airport Rd , South Burlington VT 05403-6432. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Myers, Charles R. can be contacted via phone (802) 658-0040.

Contact Information

Primary practice address
30 Airport Rd South Burlington VT 05403-6432
Fax: (802) 658-0216
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 048.0000691 Vermont

Profile Details

NPI number 1669990529
LBN Legal business name Myers, Charles R.
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2017
Last updated Jul 21st, 2022 - about 3 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 1669990529 NPPES
Vermont Other 048.0000691 STATE OF VT BOARD OF PSYCHOLOGICAL EXAMINERS PSYCHOLOGIST -DOCTORATE

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