Provider Demographics
NPI:1487638524
Name:DENTON, CHARLOTTE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:E
Last Name:DENTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6141
Mailing Address - Country:US
Mailing Address - Phone:508-990-4646
Mailing Address - Fax:508-992-8900
Practice Address - Street 1:75 N 6TH ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-990-4646
Practice Address - Fax:508-992-8900
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA 5056103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical