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Individual

DR. SUSAN CHANDERBHAN-FORDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5219 MCPHERSON RD, STE 312, LAREDO, TX 78041-7322
(646) 734-8229
Mailing address
5219 MCPHERSON RD, STE 312, LAREDO, TX 78041-7322
(646) 734-8229

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
36142
TX
103T00000X
Psychologist
PY8427
FL
103TC0700X
Clinical Psychologist
Primary
36142
TX
103TC2200X
Clinical Child & Adolescent Psychologist
36142
TX
103TC2200X
Clinical Child & Adolescent Psychologist
PY8427
FL
103TF0000X
Family Psychologist
36142
TX
103TF0000X
Family Psychologist
PY8427
FL

Other

Enumeration date
03/17/2013
Last updated
05/04/2020
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