Plaxton Hennings, Charity Ann

Plaxton Hennings, Charity Ann is an sole proprietor health care provider with primary practice located at 1881 Business Center Dr Suite 11, San Bernardino CA 92408-3465. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Plaxton Hennings, Charity Ann can be contacted via phone (909) 553-0547.

Contact Information

Primary practice address
1881 Business Center Dr Suite 11 San Bernardino CA 92408-3465
Phone: (909) 553-0547
Fax: (909) 384-0734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20627 California

Profile Details

NPI number 1528229671
LBN Legal business name Plaxton Hennings, Charity Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2008
Last updated Mar 3rd, 2009 - about 15 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 1528229671 NPPES
California Other 20627 LICENSE NUMBER

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