Holly R Chandler, MBS, LBP
Individual provider Active NPI Cognitive & Behavioral Psychologist · Okemah, OK
NPI 1770895112 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1770895112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- License
- 0176 (OK)
- Practice address
- 120 S 4TH St
Okemah, OK 74859-3802 - Phone
- (918) 623-1199
- Fax
- (918) 623-2334
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0176 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler and Associates | Cognitive & Behavioral | Past | Accepting new patients |
| H. Chandler and Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0176 | OK | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 0176 | OK | Yes |
Addresses
Primary practice location
120 S 4TH St
Okemah, OK 74859-3802
Mailing address
PO Box 74
Paden, OK 74860-0074
Phone (405) 249-4361
Other providers in Okemah, OK
- Tiffany D Bradshaw
- Clarissa Faye Bryant
- Alicia Burden-Roberts
- Tiffany Paige Byrd
- Chandler and Associates
- Audrey Jo Church I
- Randolph Colbert
- Colonial Park Healthcare Center LLC
- Colonial Park Manor, LLC
- Colonial Park Nursing Home Inc
All providers in Okemah, OK · Cognitive & Behavioral Psychologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.