Doctor Name: | DR. CHARLES MICHAEL LEPKOWSKY |
NPI Number: | 1083617252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY 9118 |
Business Practice Address: | 1143 Deer Trail Ln Solvang, CA - 934639519 |
Business Phone Number: | 8056881229 |
Business Fax Number: | 8056869382 |
Mailing Address: | 1143 Deer Trail Ln, SOLVANG |
State: | CA |
Postal Code: | 934639519 |
Phone Number: | 8056881229 |
Fax Number: | 8056869382 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 9118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |