Provider Demographics
NPI:1467348284
Name:CHARLEBOIS, ANNA (MA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CHARLEBOIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 SUMNEYTOWN PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1321
Mailing Address - Country:US
Mailing Address - Phone:610-662-3688
Mailing Address - Fax:
Practice Address - Street 1:904 SUMNEYTOWN PIKE STE 200
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-1321
Practice Address - Country:US
Practice Address - Phone:610-662-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health