# Gregory J. Charboneau, EdD, BCN, BCB

- **NPI:** 1790773463
- **NPI Type:** Individual
- **Status:** Active
- **Enumeration date:** 2005-10-07
- **Last updated:** 2012-11-14
- **Practice address:** 3157 E. 17th Avenue, Spokane, WA 99223-5136
- **Mailing address:** 3157 E. 17th Avenue, Spokane, WA 99223-5136
- **Phone:** 509-838-8066

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Psychologist, Clinical | 2046 | WA | No |
| 103G00000X | Clinical Neuropsychologist | WA.LIC2046 | WA | Yes |
| 103T00000X | Psychologist |  |  | No |
| 103TB0200X | Psychologist, Cognitive & Behavioral |  |  | No |
| 103TC2200X | Psychologist, Clinical Child & Adolescent |  |  | No |
| 103TH0004X | Psychologist, Health |  |  | No |
| 103TH0100X | Psychologist, Health Service |  |  | No |

## Provider directory

- [Psychologists in Washington](https://www.verifytx.com/npi-lookup/taxonomy/psychologist/WA/)
- [Counselors in Washington](https://www.verifytx.com/npi-lookup/taxonomy/counselor/WA/)
- [Substance use rehabilitation facilities in Washington](https://www.verifytx.com/npi-lookup/taxonomy/substance-abuse-rehabilitation-facility/WA/)
- [Psychiatric hospitals in Washington](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-hospital/WA/)
- [Psychiatric residential treatment facilities in Washington](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/WA/)
- [Skilled nursing facilities in Washington](https://www.verifytx.com/npi-lookup/taxonomy/skilled-nursing-facility/WA/)

## Data Notice:

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