Individual
DR. KELLE CHANDLER RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1805 HERRINGTON RD, BUILDING 2, LAWRENCEVILLE, GA 30043-5649
(770) 962-1944
(770) 962-1886
Mailing address
1805 HERRINGTON RD, BUILDING 2, LAWRENCEVILLE, GA 30043-5649
(770) 962-1944
(770) 962-1886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1811
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00615557A
—
GA
Enumeration date
10/23/2006
Last updated
07/08/2007
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