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Contact Information

CHARLES C LIVINGSTON, MA
471 W SOUTH ST
41-C
KALAMAZOO, MI49007
 Phone: 269-226-2623
 Fax: 269-226-2622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CHARLES C LIVINGSTON · (Male)

NPI # 1285743070
Status Active
Credentials MA
Entity Individual
Enumeration date 08/29/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301005851
  • MI License # 6801065088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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