Individual
DR. CHANELLE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8 TERMAKAY DR, NEW CITY, NY 10956-6434
(718) 541-6453
Mailing address
8 TERMAKAY DR, NEW CITY, NY 10956-6434
(718) 541-6453
(888) 959-2301
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
017079
NY
103T00000X
Psychologist
017079
NY
103TA0700X
Adult Development & Aging Psychologist
017079
NY
103TB0200X
Cognitive & Behavioral Psychologist
017079
NY
103TC0700X
Clinical Psychologist
Primary
017079
NY
Other
Enumeration date
04/20/2007
Last updated
02/26/2018
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