Organization
DOCTOR TLC, LICENSE CLINICAL PSYCHOLOGIST, INC.
Active
Organization
DOCTOR TLC, LICENSE CLINICAL PSYCHOLOGIST, INC.
Active
Other names
Teresa L. Chung, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA LIAW CHUNG PSY.D. (CEO)
(424) 272-5233
Entity
Organization
Contact information
Practice address
1242 THIRD ST PROMENADE,, SUITE 208, SANTA MONICA, CA 90401
(201) 406-9496
Mailing address
1242 THIRD ST PROMENADE,, SUITE 208, SANTA MONICA, CA 90401
(201) 406-9496
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY27669
CA
Other
Enumeration date
02/16/2017
Last updated
07/17/2019
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