Individual
SAMMANTHA CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-5766
Mailing address
4919 W GUNNISON ST, CHICAGO, IL 60630-2412
(301) 655-8250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010177
IL
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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