Provider Demographics
NPI:1124558150
Name:CHAKEY, CLARE M
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:M
Last Name:CHAKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 RIDGEWAY ROAD
Mailing Address - Street 2:
Mailing Address - City:HAVENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083
Mailing Address - Country:US
Mailing Address - Phone:610-357-5864
Mailing Address - Fax:
Practice Address - Street 1:1631 RIDGEWAY ROAD
Practice Address - Street 2:
Practice Address - City:HAVENTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083
Practice Address - Country:US
Practice Address - Phone:610-357-5864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty