Individual
DR. CAROLINE CROSS CHINLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
445 W 19TH ST, PH-D, NEW YORK, NY 10011-3844
(212) 627-8747
Mailing address
445 W 19TH ST, PH-D, NEW YORK, NY 10011-3844
(212) 627-8747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010400
PSYCHOLOGY LICENSE #
NY
01
—
145336
VALUE OPTIONS ID NUMBER
NY
01
—
6801243
GHI INS. CO PROVIDER NUMB
NY
Enumeration date
04/03/2007
Last updated
07/08/2007
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