Provider Demographics
NPI:1457530925
Name:MASSEY, CHARLOTTE ELIZABETH (ND, MSAOM)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:ELIZABETH
Last Name:MASSEY
Suffix:
Gender:F
Credentials:ND, MSAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CHURCH RD UNIT 43
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3152
Mailing Address - Country:US
Mailing Address - Phone:415-912-8642
Mailing Address - Fax:
Practice Address - Street 1:410 CHURCH RD UNIT 43
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3152
Practice Address - Country:US
Practice Address - Phone:415-912-8642
Practice Address - Fax:415-912-8642
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-261175F00000X
CAAC 12333171100000X
MT128175F00000X
CA1008175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist