Individual
DR. FREDERICK CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
954 W FOOTHILL BLVD, SUITE A, UPLAND, CA 91786
(909) 946-4222
(909) 946-8243
Mailing address
13193 CENTRAL AVENUE, SUITE 200, CHINO, CA 91710
(909) 902-9111
(909) 902-9199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY116550
—
CA
Enumeration date
11/22/2005
Last updated
07/08/2007
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