Individual
ALDRICH CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
2601 SW 37TH AVE STE 703, CORAL GABLES, FL 33133-2750
(786) 505-2824
Mailing address
2601 SW 37TH AVE STE 703, CORAL GABLES, FL 33133-2750
(786) 505-2824
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
10132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132
LICENSE NUMBER
FL
Enumeration date
05/28/2019
Last updated
05/28/2019
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