Provider Demographics
NPI:1447274246
Name:CHALMERS, SUSAN M (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:M
Last Name:CHALMERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:401 GEYSER RD
Mailing Address - Street 2:SARATOGA PSYCHIATRIC & ASSOCIATED SERVICES, P.C.
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-9069
Mailing Address - Country:US
Mailing Address - Phone:518-583-3035
Mailing Address - Fax:518-583-4247
Practice Address - Street 1:401 GEYSER RD
Practice Address - Street 2:SARATOGA PSYCHIATRIC & ASSOCIATED SERVICES, P.C.
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-9069
Practice Address - Country:US
Practice Address - Phone:518-583-3035
Practice Address - Fax:518-583-4247
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016542-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA9710Medicare ID - Type Unspecified