Individual
DR. LAWRENCE MING-AN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906-5160
(401) 481-8351
Mailing address
100 EXCHANGE ST UNIT 607, PROVIDENCE, RI 02903-2617
(401) 481-8351
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS02316
RI
Other
Enumeration date
04/01/2024
Last updated
12/11/2024
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