Provider Demographics
NPI:1811416936
Name:CHANDLER, REBECCA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:CHANDLER-HUMPHRIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:VA NORTHERN CALIFORNIA HEALTHCARE SYSTEM
Mailing Address - Street 2:150 MUIR ROAD, BUILDING 24/116
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4668
Mailing Address - Country:US
Mailing Address - Phone:925-372-2024
Mailing Address - Fax:
Practice Address - Street 1:VA NORTHERN CALIFORNIA HEALTHCARE SYSTEM
Practice Address - Street 2:150 MUIR ROAD, BUILDING 24/116
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4668
Practice Address - Country:US
Practice Address - Phone:925-372-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29465103TC0700X
CAPSY29465103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical