Individual
DR. CHELLA PERIYANAYAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
99 STAGECOACH RD, MADISONVILLE, KY 42431-8009
(270) 821-0480
(270) 821-0057
Mailing address
99 STAGECOACH RD, MADISONVILLE, KY 42431-8009
(270) 821-0480
(270) 821-0057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2007-102
KY
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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