Individual
LAUREN ASHLEY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1215 LEE ST, BOX 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0211
(434) 924-2706
Mailing address
1215 LEE ST, BOX 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0211
(434) 924-2706
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810004779
VA
103TC0700X
Clinical Psychologist
0810004779
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2011
Last updated
05/02/2013
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