Provider Demographics
NPI:1013905330
Name:HOAR, CHARLENE HARVEY (EDD, CADC-II)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:HARVEY
Last Name:HOAR
Suffix:
Gender:F
Credentials:EDD, CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 13TH ST
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2555
Mailing Address - Country:US
Mailing Address - Phone:858-794-0546
Mailing Address - Fax:858-794-0531
Practice Address - Street 1:386 13TH ST
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2555
Practice Address - Country:US
Practice Address - Phone:858-794-0546
Practice Address - Fax:858-794-0531
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 5747103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical