Individual
MIRANDA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(714) 834-1111
Mailing address
4772 CASILLAS WAY, FONTANA, CA 92336-4722
(909) 275-4734
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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