MEDICARE: DR. EDWARD WILLIAM CHANDLER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY00003183	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	75209	OTHER	FL	BCBS
2	7725565	OTHER		AETNA

General Provider Information

NPI Number	:	1336119726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD WILLIAM CHANDLER PH.D.

Provider Business Mailing Address
First Line	:	404 BARATARIA LN
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-3698
Country	:	US
Telephone Number	:	850-243-8086
Fax Number	:	850-243-2702

Provider Business Practice Location Address
First Line	:	404 BARATARIA LN
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-3698
Country	:	US
Telephone Number	:	850-243-8086
Fax Number	:	850-243-2702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	12/08/2024

Similar Medicare Providers

1124098504 — DR. D'LANE SALLY MILLER PH.D.
Practice Location Address:

404 BARATARIA LN
FORT WALTON BEACH, FL
32547-3698

Practice Phone: 850-243-8086
Practice Fax: 850-243-2702

1962532572 — TURNING POINT CENTER FOR PSYCHOLOGICAL AND FAMILY GROWTH LLC
Practice Location Address:

404 BARATARIA LN
FORT WALTON BEACH, FL
32547-3698

Practice Phone: 850-243-8086
Practice Fax: 850-243-2702

1649550310 — MS. ROSEMEEN QADIR DAOOD D.M.D.
Practice Location Address:

17000 N BAY RD , UNIT 712
SUNNY ISLES BEACH, FL
33160-3698

Practice Phone: 954-770-2820
Practice Fax:

1417735630 — SUMMER RAE HENRY APRN
Practice Location Address:

200 S FEDERAL HWY APT 203
FORT LAUDERDALE, FL
33301-3698

Practice Phone: 228-234-7946
Practice Fax:

1841344678 — DR. JONATHAN BERGENDAHL LUNDY M.D.
Practice Location Address:

3698 CHAMBERS PASS
FORT SAM HOUSTON, TX
78234-7766

Practice Phone: 210-539-3219
Practice Fax:

1346454675 — DR. DAUN JOHNSON LAI MD
Practice Location Address:

3698 CHAMBERS PASS
FORT SAM HOUSTON, TX
78234

Practice Phone: 210-916-3333
Practice Fax:

Directions to “ DR. EDWARD WILLIAM CHANDLER PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.