Provider Demographics
NPI:1861730137
Name:CHARLOP, MARJORIE HELEN (PHD)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:HELEN
Last Name:CHARLOP
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:850 COLUMBIA AVENUE
Mailing Address - Street 2:PSYCHOLOGY DEPARTMENT/CLAREMONT MCKENNA COLLEGE
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711
Mailing Address - Country:US
Mailing Address - Phone:909-621-8598
Mailing Address - Fax:909-621-8419
Practice Address - Street 1:850 COLUMBIA AVE
Practice Address - Street 2:PSYCHOLOGY DEPARTMENT/CLAREMONT MCKENNA COLLEGE
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-3901
Practice Address - Country:US
Practice Address - Phone:909-621-8598
Practice Address - Fax:909-621-8419
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY 9238103K00000X, 103T00000X, 103TB0200X, 103TC2200X, 103TF0000X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities