Individual
DR. JONATHAN NICHOLAS CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, MP
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.000042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558647891
—
LA
05
—
2394479
—
LA
Enumeration date
11/01/2011
Last updated
12/31/2019
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