Provider Demographics
NPI:1497315246
Name:CHASSLER, LYNDA LABIE (LCSW; PHD)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:LABIE
Last Name:CHASSLER
Suffix:
Gender:F
Credentials:LCSW; PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9615 BRIGHTON WAY STE 230
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5118
Mailing Address - Country:US
Mailing Address - Phone:310-858-5978
Mailing Address - Fax:
Practice Address - Street 1:9615 BRIGHTON WAY STE 230
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5118
Practice Address - Country:US
Practice Address - Phone:310-858-5978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALC0073571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty