Organization
NICOLA CHUNG, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLA CHUNG PH.D. (MGRM)
(305) 490-8590
Entity
Organization
Contact information
Practice address
1021 IVES DAIRY RD, SUITE 119, NORTH MIAMI BEACH, FL 33179-2537
(305) 490-8590
Mailing address
1021 IVES DAIRY RD, SUITE 119, NORTH MIAMI BEACH, FL 33179-2537
(305) 490-8590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7307
FL
Other
Enumeration date
11/15/2006
Last updated
09/14/2013
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