NPI 1003276957

Michael Fung, PHD

Practitioner Clinical Psychologist Chicago, IL

Practice location

Address: 820 S Damen Ave, Chicago, IL 60612-3728
Phone: (312) 569-6975

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071.009445 (IL)

Other Psychologist providers in Illinois →

Counseling Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 3420-57 (WI)

Registry record

NPI: 1003276957
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2016
Record last updated: 7 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.