Provider Demographics
NPI:1518217488
Name:CHANDRAPALA, AMILA CHATHURESI (PSY D)
Entity Type:Individual
Prefix:DR
First Name:AMILA
Middle Name:CHATHURESI
Last Name:CHANDRAPALA
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 LAS VIRGENES RD
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1905
Mailing Address - Country:US
Mailing Address - Phone:818-222-1192
Mailing Address - Fax:818-591-3311
Practice Address - Street 1:1301 LAS VIRGENES RD
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1905
Practice Address - Country:US
Practice Address - Phone:818-222-1192
Practice Address - Fax:818-591-3311
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist