Individual
KATHY CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
17376 W 12 MILE RD, SUITE 102, SOUTHFIELD, MI 48076-2118
(312) 479-8193
Mailing address
1558 DONNA AVE, MADISON HEIGHTS, MI 48071-2051
(312) 479-8193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015505
MI
Other
Enumeration date
07/23/2013
Last updated
09/13/2016
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