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Charles Brake, PH.D. — NPI 1558941963, Providence, RI | NPI Central

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NPI 1558941963

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Charles Brake, PH.D.

NPI 1558941963 · Psychologist · Providence, RI

Provider details

NPI number: 1558941963
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: No

Specialties & taxonomies

PsychologistPrimary103T00000X
Behavioral Health & Social Service Providers

Practice location

830 Chalkstone Ave Bldg 14

Providence, RI 02908-4734

Phone: (401) 273-7100

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

243 Broadway Apt 3

Providence, RI 02903-3068

Registry dates

Enumerated: 2021-04-09
Last updated: 2021-04-09
Certified: 2021-04-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.