Individual
DR. SUSAN ELLIS CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18 LENOX POINTE NE STE A, ATLANTA, GA 30324-7402
(404) 966-8395
Mailing address
18 LENOX POINTE NE STE A, ATLANTA, GA 30324-7402
(404) 966-8395
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY00079
GA
103TC0700X
Clinical Psychologist
Primary
PSY00079
GA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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