Provider Demographics
NPI:1780749648
Name:MCPHERSON-CHARLES, ANTOINETTE ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:ELIZABETH
Last Name:MCPHERSON-CHARLES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1111 12TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4088
Mailing Address - Country:US
Mailing Address - Phone:305-923-9650
Mailing Address - Fax:305-294-3361
Practice Address - Street 1:1111 12TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4088
Practice Address - Country:US
Practice Address - Phone:305-923-9650
Practice Address - Fax:305-294-3361
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY 7148103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical