Provider Demographics
NPI:1538480090
Name:CHARRIER, JOHN O III (LP)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:O
Last Name:CHARRIER
Suffix:III
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 EVERGREEN CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3645
Mailing Address - Country:US
Mailing Address - Phone:888-770-2248
Mailing Address - Fax:
Practice Address - Street 1:1095 EVERGREEN CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3645
Practice Address - Country:US
Practice Address - Phone:888-770-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33420103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist