Suzzanne Chung in Lakeville - Clinical

Suzzanne Chung - NPI 1497836480

Suzzanne Chung is a Clinical in Lakeville, Minnesota. Suzzanne Chung practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suzzanne Chung is 1497836480. The last update date is 2009-09-15.

Suzzanne Chung's current location address is 10591 165th St W, Lakeville, Minnesota. You can contact this provider via phone number 9528981133 and fax number 9524356797. The mailing address for Suzzanne Chung is 10591 165th St W, Lakeville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Suzzanne Chung
Address 10591 165th St W, Lakeville, Minnesota
Phone Number 9528981133
Fax Number 9524356797
Sole Proprietor N
Credentials PSYD LP

NPI Number Detail

NPI Number 1497836480
Provider Enumeration Date 2006-10-18
Last Updated Date 2009-09-15

Provider Mailing Address Detail

Address 10591 165th St W
City Lakeville
State Minnesota (MN)
Post Code 550443528
Phone Number 9528981133
Fax Number 9524356797

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP 4658
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
955796200 MN --

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FAQs about Suzzanne Chung

What is the Suzzanne Chung's unique identification number?

The Suzzanne Chung has been assigned the NPI (National Provider Identifier) Number 1497836480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Suzzanne Chung is geographically located?

The Suzzanne Chung is physically situated at the following location: 10591 165Th St W, Lakeville, MN, 550443528.

What is Suzzanne Chung's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Suzzanne Chung is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

When was the Suzzanne Chung's 1497836480 issued?

The Suzzanne Chung's 1497836480 was issued on 2006-10-18.

As of what date was the information regarding Suzzanne Chung, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Suzzanne Chung, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-15.

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