Individual
ELIZABETH L. CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1669
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07016694
—
CO
01
—
11970837
CAQH PIN
CO
01
—
PSY.0001669
PROFESSIONAL LICENSE
CO
Enumeration date
03/06/2009
Last updated
03/02/2021
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