| Chanderbhan Psychological Services Pllc Susan Chanderbhan-forde | |
|
5219 Mcpherson Rd Ste 312 Laredo TX 78041-7322 | |
| (956) 898-1595 | |
| Not Available |
| Full Name | Chanderbhan Psychological Services Pllc Susan Chanderbhan-forde |
|---|---|
| Speciality | Psychologist |
| Location | 5219 Mcpherson Rd Ste 312, Laredo, Texas |
| Authorized Official Name and Position | Susan Chanderbhan-forde (CEO / LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9568981595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanderbhan Psychological Services Pllc Susan Chanderbhan-forde 5219 Mcpherson Rd Ste 312 Laredo TX 78041-7322 Ph: (956) 898-1595 | Chanderbhan Psychological Services Pllc Susan Chanderbhan-forde 5219 Mcpherson Rd Ste 312 Laredo TX 78041-7322 Ph: (956) 898-1595 |
| NPI Number | 1073959821 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 6901228873 |
|---|---|
| Medicare Enrollment ID | O20200623000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073959821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 36142 (Texas) | Primary |
| Provider Name | Susan Chanderbhan-forde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982946935 PECOS PAC ID: 0244474088 Enrollment ID: I20130918000460 |
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