Provider Demographics
NPI:1336262872
Name:CHANDLER, JANE (MS)
Entity Type:Individual
Prefix:
First Name:JANE
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 1:1530 BUCHANAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3709
Mailing Address - Country:US
Mailing Address - Phone:078-610-5957
Mailing Address - Fax:415-863-8017
Practice Address - Street 1:1530 BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3709
Practice Address - Country:US
Practice Address - Phone:707-861-0595
Practice Address - Fax:415-563-8017
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 47938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist