| Doctor Name: | DR. CHARLES F MUNDHENK |
| NPI Number: | 1033206354 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2752 |
| Business Practice Address: | 223 Chief Justice Cushing Hwy Ste 204 Cohasset, MA - 020251391 |
| Business Phone Number: | 7813830860 |
| Business Fax Number: | 7813831239 |
| Mailing Address: | 223 Chief Justice Cushing Hwy Ste 204, P.o. Box 146 COHASSET |
| State: | MA |
| Postal Code: | 020251391 |
| Phone Number: | 7813830860 |
| Fax Number: | 7813831239 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 11/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |