Individual
DR. JUSTIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6106 TENNESSEE AVE, FORT CAMPBELL, KY 42223-5940
(610) 772-3898
Mailing address
6106 TENNESSEE AVE, FORT CAMPBELL, KY 42223-5940
(610) 772-3898
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4748
AZ
Other
Enumeration date
03/24/2014
Last updated
04/11/2018
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