Individual
ANDREW CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(732) 322-8386
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10000937
MA
104100000X
Social Worker
S.1500716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
06/17/2015
Last updated
01/03/2025
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