Healthcare Provider Details

I. General information

NPI: 1447274246
Provider Name (Legal Business Name): SUSAN M. CHALMERS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MARCUS BLVD STE 105
ALBANY NY
12205-5953
US

IV. Provider business mailing address

1 MARCUS BLVD STE 105
ALBANY NY
12205-5953
US

V. Phone/Fax

Practice location:
  • Phone: 518-782-4984
  • Fax: 518-313-7537
Mailing address:
  • Phone: 518-782-4984
  • Fax: 518-313-7537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number016542-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: