Individual
DR. CHAD COREN
Active
Individual
DR. CHAD COREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., CACD
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS016785
PA
103TC0700X
Clinical Psychologist
Primary
PS016785
PA
Other
Enumeration date
04/26/2010
Last updated
12/16/2010
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