Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Lavalle Page, PHD

Individual provider Clinical Psychologist · NPI 1467552059

Dr. Charles Lavalle Page, PHD is a Clinical Psychologist in Fort Collins, Colorado. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
40
Licensed in
CO
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

149 W Harvard St Ste 202
Fort Collins, CO 80525-2186
Phone: (970) 682-1173
Fax: (970) 282-1782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1404 (CO)

Record details

NPI number1467552059
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 23, 2006
Last updated in NPPESOctober 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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