Chandler, Deborah
Chandler, Deborah is an sole proprietor health care provider with primary practice located at 5197 Main St , South Fallsburg NY 12779-2013. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chandler, Deborah can be contacted via phone (845) 436-5107.Contact Information
Primary practice address
5197 Main St
South Fallsburg NY 12779-2013
Phone: (845) 436-5107
Fax: (845) 436-5208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010922 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY12289 | California |
Profile Details
| NPI number | 1548244015 |
|---|---|
| LBN Legal business name | Chandler, Deborah |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Sep 3rd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548244015 | NPPES |
| New York | MEDICAID | 01282571 |
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