Doctor Name: | DR. DREW CHENELLY |
NPI Number: | 1225095219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY. D. |
License Number: | 8365 |
Business Practice Address: | 121 N Main St Suite 310 Albion, NY - 144111237 |
Business Phone Number: | 5855895076 |
Business Fax Number: | 5856823197 |
Mailing Address: | 121 N Main St, Suite 310 ALBION |
State: | NY |
Postal Code: | 144111237 |
Phone Number: | 5855895076 |
Fax Number: | 5856823197 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 8365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |