Provider Demographics
NPI:1780772772
Name:CHANDLER, ELIZABETH LANE (MS, QMHP)
Entity type:Individual
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First Name:ELIZABETH
Middle Name:LANE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MS, QMHP
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Mailing Address - Street 1:2411 MARTIN LUTHER KING BLVD
Mailing Address - Street 2:LANE COUNTY BEHAVIORAL HEALTH SERVICES
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-484-1456
Mailing Address - Fax:541-682-3276
Practice Address - Street 1:622 S 57TH PL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97478-5487
Practice Address - Country:US
Practice Address - Phone:541-726-8076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-08-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health