Kelle Chandler Ray in Lawrenceville - Clinical
Kelle Chandler Ray - NPI 1386727048
Kelle Chandler Ray is a Clinical in Lawrenceville, Georgia. Kelle Chandler Ray practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelle Chandler Ray is 1386727048. The last update date is 2007-07-08.
Kelle Chandler Ray's current location address is 1805 Herrington Rd, Lawrenceville, Georgia. You can contact this provider via phone number 7709621944 and fax number 7709621886. The mailing address for Kelle Chandler Ray is 1805 Herrington Rd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelle Chandler Ray |
|---|---|
| Address | 1805 Herrington Rd, Lawrenceville, Georgia |
| Phone Number | 7709621944 |
| Fax Number | 7709621886 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1386727048 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1805 Herrington Rd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300435649 |
| Phone Number | 7709621944 |
| Fax Number | 7709621886 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1811 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00615557A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelle Chandler Ray by the Centers for Medicare & Medicaid Services?
The Kelle Chandler Ray has been assigned the NPI (National Provider Identifier) 1386727048 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kelle Chandler Ray's physical address?
The Kelle Chandler Ray is physically located at 1805 Herrington Rd, in the city of Lawrenceville, GA, with the postal code 300435649.
What is the area of specialization for Kelle Chandler Ray, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelle Chandler Ray is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386727048 to Kelle Chandler Ray?
The Centers for Medicare & Medicaid Services originally issued the 1386727048 to Kelle Chandler Ray on 2006-10-23.
As of what date was the information regarding Kelle Chandler Ray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelle Chandler Ray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.