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General NPI Number Information
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NPI Number | 1265238471
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Entity Type | Organization
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Legal Business Name | CHARM CITY PSYCHOTHERAPY
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 118 GALEWOOD RD
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-2511
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Country | US
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Telephone | 912-399-9223
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Fax |
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Provider Business Mailing Address
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Address Line | 118 GALEWOOD RD
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-2511
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Country | US
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Telephone | 912-399-9223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA CHILDERS
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Credential | PSY.D.
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Telephone | 650-437-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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