Doctor Name: | MS. ELLEN AGREE CHANDLER |
NPI Number: | 1629138060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. |
License Number: | R022138 |
Business Practice Address: | 666 Route 9d Garrison, NY - 105243344 |
Business Phone Number: | 8454243650 |
Business Fax Number: | 8454243364 |
Mailing Address: | 666 Route 9d, GARRISON |
State: | NY |
Postal Code: | 105243344 |
Phone Number: | 8454243650 |
Fax Number: | 8454243364 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R022138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |