Individual
DR. CHENETRA D BUCHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2400 HOSPITAL RD # 4A-209, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3262
Mailing address
1736 ROANOKE LN, AUBURN, AL 36830-1912
(334) 707-7362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2165
AL
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487282620
PRIVATE PRACTICE
AL
Enumeration date
12/21/2017
Last updated
10/03/2020
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