| Doctor Name: | DR. ALVIN NMN CHANDLER |
| NPI Number: | 1417390899 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY 16044 |
| Business Practice Address: | 5th And Western Ca Rehabilitation Center Norco, CA - 928600991 |
| Business Phone Number: | 9517372683 |
| Business Fax Number: | 9512732974 |
| Mailing Address: | Po Box 1841, NORCO |
| State: | CA |
| Postal Code: | 928600991 |
| Phone Number: | 9517372683 |
| Fax Number: | 9512732974 |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PSY 16044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |