Doctor Name: | DR. CHARLES A. FILANOSKY |
NPI Number: | 1609910256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 017080-01 |
Business Practice Address: | 4444 Geary Blvd Suite 309c San Francisco, CA - 941183048 |
Business Phone Number: | 6508393486 |
Business Fax Number: | |
Mailing Address: | 4444 Geary Blvd, Suite 309c SAN FRANCISCO |
State: | CA |
Postal Code: | 941183048 |
Phone Number: | 6508393486 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 11/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 017080-01 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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. |