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

Dr. Gregory J. Charboneau, EDD, BCN, BCB

Individual provider Clinical Psychologist · NPI 1790773463

Dr. Gregory J. Charboneau, EDD, BCN, BCB is a Clinical Psychologist in Spokane, Washington. Qualified in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
41
Licensed in
WA
In the registry since
2005
Specialties on file
7
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

3157 E 17th Ave
Spokane, WA 99223-5136
Phone: (509) 838-8066
Fax: (800) 594-8305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence WA.LIC2046 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2046 (WA)
Psychologist Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Health Psychologist Taxonomy 103TH0004X
Health Service Psychologist Taxonomy 103TH0100X

Record details

NPI number1790773463
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , BCN , BCB
Sole proprietorYes
NPI enumeratedOctober 7, 2005
Last updated in NPPESNovember 14, 2012
Mailing address3157 E. 17th Avenue, Spokane, WA 99223-5136

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Spokane