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DR. CHENETRA D BUCHANNON PHD

Counseling >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1043726482

Individual Registrant:
DR. CHENETRA D BUCHANNON PHD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD # 4A-209  TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: 334-725-3262

Contact information for business:
1736 ROANOKE LN  AUBURN, AL 36830-1912 US
Tel: 334-707-7362  Fax: --

Registration Information:
NPI: 1043726482
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC1900XBehavioral Health & Social Service Providers
Psychologist
Counseling
N103T00000XBehavioral Health & Social Service Providers
Psychologist
AL2165

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PRIVATE PRACTICE1487282620AL01




HEALTH CARE JOBS AL - Page 1



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