Basic Information
| Provider Information | |||||||||
| NPI: | 1629434659 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARRINGER | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | R. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 HOPE RD | ||||||||
| Address2: | |||||||||
| City: | STAFFORD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 225547202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5406592725 | ||||||||
| FaxNumber: | 5403713753 | ||||||||
| Practice Location | |||||||||
| Address1: | 411 CROWN VIEW DR | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223144803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7037511861 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2016 | ||||||||
| LastUpdateDate: | 03/21/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 071005790 | IL | N | Behavioral Health & Social Service Providers | Psychologist | 103TC0700X | 071005790 | IL | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TH0100X | 071005790 | IL | N | Behavioral Health & Social Service Providers | Psychologist | Health Service | 103TC0700X | 0810005378 | VA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.