NPI 1053572321

Randolph Seville Charlton, MD

Practitioner Psychoanalyst Palo Alto, CA

Practice location

Address: 690 Waverley St, Palo Alto, CA 94301-2549
Phone: (650) 327-3636
Fax: (650) 327-3636

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence G 21406 (CA)

Other Psychoanalyst providers in California →

Registry record

NPI: 1053572321
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2008
Record last updated: 19 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.