Provider Demographics
NPI:1730239278
Name:CHARMOLI, MARGARET CHARITY (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:CHARITY
Last Name:CHARMOLI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:570 ASBURY STREET
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1850
Mailing Address - Country:US
Mailing Address - Phone:651-645-5588
Mailing Address - Fax:651-642-9851
Practice Address - Street 1:570 ASBURY STREET
Practice Address - Street 2:SUITE 202A
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-1850
Practice Address - Country:US
Practice Address - Phone:651-645-5588
Practice Address - Fax:651-642-9851
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1479103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN932761001632OtherPREFERRED ONE PIN
MN00Q54CHOtherBLUE CROSS BLUE SHIELD