Chandra Rae Dewberry, is a
Behavior Analyst based in Hattiesburg, Mississippi. Chandra Rae Dewberry is licensed to practice in Mississippi (license number ) and her current practice location is
74 Burketts Creek Dr, Hattiesburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(773) 449-0769.
NPI number for Chandra Rae Dewberry is 1265958854 and her current mailing address is 74 Burketts Creek Dr, Hattiesburg, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265958854.
Healthcare Provider's Profile
Full Name | Chandra Rae Dewberry |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 74 Burketts Creek Dr, Hattiesburg, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265958854
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Chandra Rae Dewberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265958854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | (Mississippi) | Secondary |
103K00000X | Behavior Analyst | (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chandra Rae Dewberry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chandra Rae Dewberry, 74 Burketts Creek Dr, Hattiesburg, MS 39401-5080 Ph: (773) 449-0769 | Chandra Rae Dewberry, 74 Burketts Creek Dr, Hattiesburg, MS 39401-5080 Ph: (773) 449-0769 |
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