Individual
DR. DEBORAH CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5197 MAIN ST, SOUTH FALLSBURG, NY 12779-2013
(845) 436-5107
(845) 436-5208
Mailing address
5197 MAIN STREET, POST OFFICE BOX N, SOUTH FALLSBURG, NY 12779-2013
(845) 436-5107
(845) 436-5208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010922
NY
103TC0700X
Clinical Psychologist
PSY12289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282571
—
NY
Enumeration date
11/30/2005
Last updated
09/03/2010
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