Organization
MELISSA CHANG PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA CHANG PH.D. (OWNER)
(203) 325-3263
Entity
Organization
Contact information
Practice address
59 ROXBURY RD, STAMFORD, CT 06902-1283
(203) 322-2100
Mailing address
33 CAMORE ST, STAMFORD, CT 06905-3506
(203) 325-3263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002637
CT
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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