Chanda Lynne Pilgrim, PH.D.

Psychologist · Clarkston, GA

Individual Active NPI

NPI number 1316178049

Practice location

945 N Indian Creek Dr
Clarkston, GA 30021-2221
Phone
(404) 298-9005
Fax
(404) 298-0046

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NPI record

NPI
1316178049
Entity type
Individual (Type 1)
Enumeration date
July 29, 2009
Last updated
July 11, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 003471 GA

About Dr. Pilgrim

Chanda Lynne Pilgrim, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 945 N Indian Creek Dr, Clarkston, GA 30021-2221. The NPI number 1316178049 was assigned on July 29, 2009 and the record was last updated on July 11, 2012.

Dr. Pilgrim lists a license in the registry: #003471 (GA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chanda Lynne Pilgrim, PH.D.?

The NPI number is 1316178049.

What is the phone number of Dr. Pilgrim?

The phone number listed for the practice location is (404) 298-9005.

Where is Dr. Pilgrim located?

945 N Indian Creek Dr, Clarkston, GA 30021-2221.

What is the taxonomy code for Dr. Pilgrim?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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