Individual
SUSIE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22 GORDON AVE, LAWRENCEVILLE, NJ 08648-1033
(609) 844-0452
Mailing address
PO BOX 6766, LAWRENCEVILLE, NJ 08648-0766
(609) 216-3597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00431800
NJ
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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