Individual
SI CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1515 S FEDERAL HWY, BOCA RATON, FL 33432-7450
(561) 331-1722
Mailing address
1515 S FEDERAL HWY STE 215, BOCA RATON, FL 33432-7404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
IMH8938
FL
103T00000X
Psychologist
06586
MD
103T00000X
Psychologist
PY10667
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
06586
MD
103TB0200X
Cognitive & Behavioral Psychologist
PY10667
FL
103TC0700X
Clinical Psychologist
06586
MD
103TC0700X
Clinical Psychologist
Primary
PY10667
FL
103TC1900X
Counseling Psychologist
PY10667
FL
103TC2200X
Clinical Child & Adolescent Psychologist
06586
MD
103TC2200X
Clinical Child & Adolescent Psychologist
PY10667
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/29/2017
Last updated
04/17/2021
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