Doctor Name: | DR. DEBORAH CHANDLER |
NPI Number: | 1548244015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY12289 |
Business Practice Address: | 5197 Main St South Fallsburg, NY - 127792013 |
Business Phone Number: | 8454365107 |
Business Fax Number: | 8454365208 |
Mailing Address: | 5197 Main Street, Post Office Box N SOUTH FALLSBURG |
State: | NY |
Postal Code: | 127792013 |
Phone Number: | 8454365107 |
Fax Number: | 8454365208 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY12289 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |