NPI 1265770523

Charles Hermann Bogdahn, LCSW

Practitioner Clinical Child & Adolescent Psychologist Mount Vernon, WA

Practice location

Address: 1419 East College Way, Mount Vernon, WA 98273
Phone: (808) 688-3376
Fax: (808) 961-6819
Mailing address: PO Box 591, Pepeekeo, HI 96783

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence #615 (HI)

Other Psychologist providers in Washington →

Registry record

NPI: 1265770523
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2013
Record last updated: 8 Jan 2023

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.