Individual
MICHELLE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4860 Y ST STE 3700, SACRAMENTO, CA 95817-2307
(916) 703-5019
Mailing address
4860 Y ST STE 3700, SACRAMENTO, CA 95817-2307
(916) 703-5019
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
30237
CA
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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