Dr. Chandler, Llc | |
1615 Poydras St Ste 900 New Orleans LA 70112-1282 | |
(504) 708-4933 | |
(833) 708-4933 |
Full Name | Dr. Chandler, Llc |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 1615 Poydras St Ste 900, New Orleans, Louisiana |
Authorized Official Name and Position | Jonathan N Chandler (MEDICAL PSYCHOLOGIST) |
Authorized Official Contact | 5047084933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Chandler, Llc 5208 Magazine St Ste 138 New Orleans LA 70115-1846 Ph: (504) 708-4933 | Dr. Chandler, Llc 1615 Poydras St Ste 900 New Orleans LA 70112-1282 Ph: (504) 708-4933 |
NPI Number | 1104449388 |
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Provider Enumeration Date | 05/22/2020 |
Last Update Date | 05/22/2020 |
Certification Date | 05/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104449388 | NPI | - | NPPES |
103TP0016X | Other | LA | TAXONOMY |
2394479 | Medicaid | LA | |
1558647891 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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