IndividualActive
Larry Charles
NPI 1225448988 · Nurse's Aide · Haddon Township, NJ
Provider details
- NPI number
- 1225448988
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
795 White Horse Pike
Suite B
Haddon Township, NJ 08107-1264
Phone: (215) 207-4089
Approximate (ZIP-level) locationGet directions
Mailing address
795 White Horse Pike
Haddon Township, NJ 08107-1264
Registry dates
- Enumerated
- 2014-05-04
- Last updated
- 2014-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.