Individual
ELIZABETH W CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7901 BROADWAY, UNIT E4, ELMHURST, NY 11373-1329
(718) 334-1262
Mailing address
7901 BROADWAY, UNIT E4, ELMHURST, NY 11373-1329
(718) 334-1262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018051
NY
282N00000X
General Acute Care Hospital
018051
NY
Other
Enumeration date
11/12/2009
Last updated
05/18/2011
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