Provider Demographics
NPI:1073611612
Name:FRANCIA, CHARLOTTE A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:A
Last Name:FRANCIA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:A
Other - Last Name:D'SOUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:EVANS ARMY HOSPITAL
Mailing Address - Street 2:1650 COCHRAN CIRCLE B7500
Mailing Address - City:FT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-1070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EVANS ARMY HOSPITAL
Practice Address - Street 2:1650 COCHRAN CIRCLE B7500
Practice Address - City:FT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-1070
Practice Address - Country:US
Practice Address - Phone:719-526-7155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6418101YA0400X
CO4211101YP2500X
CO3467103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional