Organization Name: | KATHY CHEN, PSY.D., P.L.L.C. |
NPI Number: | 1518364793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY CHEN (OWNER) |
Mailing Address: | 262 W Saint Clair St Romeo |
State: | MI US |
Postal Code: | 480654662 |
Phone Number: | 3124798193 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |