Provider Demographics
NPI:1891907317
Name:CHANEY, GENEVIEVE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:
Last Name:CHANEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-0233
Mailing Address - Country:US
Mailing Address - Phone:267-608-7301
Mailing Address - Fax:215-825-5368
Practice Address - Street 1:1616 WALNUT STREET
Practice Address - Street 2:SUITE 812
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103
Practice Address - Country:US
Practice Address - Phone:267-608-7301
Practice Address - Fax:267-608-7301
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00422800103T00000X
PAPS015300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist