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Charles John Dahlstrom, PH.D..

NPI 1124160072ActiveIndividual· Psychologist· Warrensburg, MO

Psychologist (PH.D..) in Warrensburg, Missouri, licensed in MO, with an NPI issued in February 2007.

Overview

NPI1124160072
StatusActive
Entity typeIndividual
CredentialPH.D..
Sole proprietorNo
NPI issuedFeb 13, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPY01749MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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