Individual provider · Type 1 NPI
Gregory J. Charboneau, EDD, BCN, BCB
Clinical Neuropsychologist · Spokane, WA
Practice location
3157 E. 17th Avenue
Spokane, WA 99223-5136
Fax (800) 594-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 2046 (WA) |
| Clinical Neuropsychologist Primary | 103G00000X | WA.LIC2046 (WA) |
| Psychologist | 103T00000X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Health Psychologist | 103TH0004X | None listed |
| Health Service Psychologist | 103TH0100X | None listed |
Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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About NPI 1790773463
Gregory J. Charboneau, EDD, BCN, BCB's National Provider Identifier is 1790773463, issued on Oct 7, 2005. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Spokane, WA. The record was last updated on Nov 14, 2012.