Provider Demographics
NPI:1710434568
Name:CHANDLER, ISABEL (MS)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 PENBROOKE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2046
Mailing Address - Country:US
Mailing Address - Phone:585-364-3171
Mailing Address - Fax:585-364-0909
Practice Address - Street 1:441 PENBROOKE DR
Practice Address - Street 2:SUITE 5
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2046
Practice Address - Country:US
Practice Address - Phone:585-364-3171
Practice Address - Fax:585-364-0909
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP00598101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health