Doctor Name: | MRS. SUSAN RUTH CHANDLER |
NPI Number: | 1003808973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH |
License Number: | PC0000128 |
Business Practice Address: | 1311 N Rodney St Wilmington, DE - 198064259 |
Business Phone Number: | 3026526545 |
Business Fax Number: | 3026521811 |
Mailing Address: | 1311 N Rodney St, WILMINGTON |
State: | DE |
Postal Code: | 198064259 |
Phone Number: | 3026526545 |
Fax Number: | 3026521811 |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC0000128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |