Provider Demographics
NPI:1992893366
Name:CHANDLER, BARBARA BRYANT (LICENSED CLINICAL SO)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:BRYANT
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4499
Mailing Address - Country:US
Mailing Address - Phone:210-614-7070
Mailing Address - Fax:210-615-0249
Practice Address - Street 1:2135 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4499
Practice Address - Country:US
Practice Address - Phone:210-614-7070
Practice Address - Fax:210-615-0249
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80819WOtherBCBS