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DR. GERARD ANTHONY CHAMBERS PSY D, PH.D.

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679753156

Individual Registrant:
DR. GERARD ANTHONY CHAMBERS PSY D, PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
2140 41ST AVE STE 200B CAPITOLA, CA 95010-2067 US
Tel: 321-208-1554  Fax: --

Contact information for business:
1706 DOLPHIN DR  APTOS, CA 95003-5711 US
Tel: 321-208-1554  Fax: --

Registration Information:
NPI: 1679753156
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH8816
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
CA23778

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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