Individual provider · Type 1 NPI

Leland St. Charles, PSY.D.

Clinical Psychologist · Portland, OR

NPI number 1457715922 Active

Practice location

2700 SE 26th Ave Ste C
Portland, OR 97202-1288

Mailing address

8415 SE 75th Ave
Portland, OR 97206-8613

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X5872 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1457715922

Leland St. Charles, PSY.D.'s National Provider Identifier is 1457715922, issued on Apr 11, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Mar 6, 2022.