Individual
VIVIAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MAIN ST, STOCKBRIDGE, MA 01262
(413) 931-5282
Mailing address
25 MAIN ST, PO BOX 962, STOCKBRIDGE, MA 01262
(413) 931-5282
(413) 298-4020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
287754
MA
Other
Enumeration date
03/27/2017
Last updated
02/14/2022
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