NPI 1003856121

Nicola Marie Chung, PHD

Practitioner Clinical Psychologist North Miami Beach, FL

Practice location

Address: 1021 Ives Dairy Rd Suite 119, North Miami Beach, FL 33179-2537
Phone: (305) 490-8590

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY 7307 (FL)

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Registry record

NPI: 1003856121
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2006
Record last updated: 14 Sep 2013

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.