Llewellyn, Russell Chandler

Llewellyn, Russell Chandler is an sole proprietor health care provider with primary practice located at 1350 Cherry St , San Carlos CA 94070-3008. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Llewellyn, Russell Chandler can be contacted via phone (650) 595-4500.

Contact Information

Primary practice address
1350 Cherry St San Carlos CA 94070-3008
Phone: (650) 595-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY4609 California

Profile Details

NPI number 1942334578
LBN Legal business name Llewellyn, Russell Chandler
Credentials PH. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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