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NPI Code Detail

MEDICARE: DR. REBECCA COLLEEN CHALMERS PSYD

MEDICARE:  DR. REBECCA COLLEEN CHALMERS  PSYD
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
1103T00000XPsychologist019099NY

General Provider Information

NPI Number : 1659664456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA COLLEEN CHALMERS PSYD
Provider Business Mailing Address
First Line : 243 SAINT MARKS AVE APT 6
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-3564
Country : US
Telephone Number : 212-203-2789
Fax Number :
Provider Business Practice Location Address
First Line : 243 SAINT MARKS AVE APT 6
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-3564
Country : US
Telephone Number : 212-203-2789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2011
Last Update Date : 06/14/2021

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Directions to “ DR. REBECCA COLLEEN CHALMERS PSYD” Practice Location

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