Individual
DARIA CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
158 CAMBRIDGE AVE, GARDEN CITY, NY 11530-4235
(646) 633-1586
Mailing address
10 HOLLY LN, DARIEN, CT 06820-3303
(646) 633-1586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023439
NY
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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