Provider Demographics
NPI:1558801670
Name:LABYS, CHARLOTTE ALEXANDRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:ALEXANDRA
Last Name:LABYS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 PEMBERTON ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1906
Mailing Address - Country:US
Mailing Address - Phone:617-286-4493
Mailing Address - Fax:
Practice Address - Street 1:61 PEMBERTON ST APT 3
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1906
Practice Address - Country:US
Practice Address - Phone:617-286-4493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPSY10001334103TC0700X
MEPS1502101YM0800X, 101YP2500X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional