Provider Demographics
NPI:1306561618
Name:MCGHEE, CHANDA RENEE (PHD)
Entity type:Individual
Prefix:DR
First Name:CHANDA
Middle Name:RENEE
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4136 LIGHTSTONE LN
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-6426
Mailing Address - Country:US
Mailing Address - Phone:469-592-8831
Mailing Address - Fax:
Practice Address - Street 1:4136 LIGHTSTONE LN
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-6426
Practice Address - Country:US
Practice Address - Phone:469-592-8831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32609103TS0200X
TX38881103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool