Provider Demographics
NPI:1457464430
Name:FLAGLER, CHARLES JOHN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JOHN
Last Name:FLAGLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 BILTMORE AVE
Mailing Address - Street 2:SUITE 5D
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4501
Mailing Address - Country:US
Mailing Address - Phone:828-281-2299
Mailing Address - Fax:828-281-2299
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:SUITE 5D
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4501
Practice Address - Country:US
Practice Address - Phone:828-281-2299
Practice Address - Fax:828-281-2299
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2986103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist