Individual
DR. PATRICIA MEYER CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5800 N BAY SHORE DR, SUITE A250, GLENDALE, WI 53217
(414) 962-6764
(414) 962-6765
Mailing address
5800 N BAY SHORE DR, SUITE A250, GLENDALE, WI 53217
(414) 962-6764
(414) 962-6765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2396057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43575100
—
WI
Enumeration date
11/01/2006
Last updated
11/14/2012
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