| Nicola Chung, Ph.d., Llc | |
|
1021 Ives Dairy Rd Suite 119 North Miami Beach FL 33179-2537 | |
| (305) 490-8590 | |
| Not Available |
| Full Name | Nicola Chung, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1021 Ives Dairy Rd, North Miami Beach, Florida |
| Authorized Official Name and Position | Nicola Chung (MGRM) |
| Authorized Official Contact | 3054908590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicola Chung, Ph.d., Llc 1021 Ives Dairy Rd Suite 119 North Miami Beach FL 33179-2537 Ph: (305) 490-8590 | Nicola Chung, Ph.d., Llc 1021 Ives Dairy Rd Suite 119 North Miami Beach FL 33179-2537 Ph: (305) 490-8590 |
| NPI Number | 1346312923 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 09/14/2013 |
| Medicare PECOS PAC ID | 9032110093 |
|---|---|
| Medicare Enrollment ID | O20090708000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346312923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 7307 (Florida) | Primary |
| Provider Name | Nicola M Chung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003856121 PECOS PAC ID: 7315948379 Enrollment ID: I20070118000398 |
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