| Doctor Name: | DR. MICHAEL ALAN CHARASH |
| NPI Number: | 1003981986 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PY6981 |
| Business Practice Address: | 21301 Powerline Rd Suite 209 Boca Raton, FL - 334332388 |
| Business Phone Number: | 5614951835 |
| Business Fax Number: | |
| Mailing Address: | 9960 Nw 116th Way, Suite 13 MEDLEY |
| State: | FL |
| Postal Code: | 331781167 |
| Phone Number: | 7869241311 |
| Fax Number: | 7869241313 |
| NPI Enumeration Date: | 11/23/2006 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | PY6981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |