Doctor Name: | DR. CHARLES RICHARD FILSON |
NPI Number: | 1134153190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDD |
License Number: | 1682 |
Business Practice Address: | 2115 Wisconsin Ave Nw Suite 200 Washington, DC - 200072265 |
Business Phone Number: | 2023335670 |
Business Fax Number: | 7032811910 |
Mailing Address: | Po Box 40709, WASHINGTON |
State: | DC |
Postal Code: | 200160709 |
Phone Number: | 2023335670 |
Fax Number: | 7032811910 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 05/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 1682 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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. |