Organization
KATHY CHEN PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY CHEN PSYD (CLINICAL PSYCHOLOGIST)
(312) 479-8193
Entity
Organization
Contact information
Practice address
17376 W 12 MILE RD, SUITE 102, SOUTHFIELD, MI 48076-2118
(312) 479-8193
Mailing address
1558 DONNA AVE, MADISON HEIGHTS, MI 48071-2051
(312) 479-8193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2016
Last updated
10/23/2016
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