Justin Chen, PSYD Valid NPI
Individual provider · Clinical Psychologist · Fort Campbell, KY
- NPI
- 1366869844
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 4748 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-03-24
- Last updated
- 2018-04-11
Practice location
6106 Tennessee Ave
Fort Campbell, KY 42223-5940
(610) 772-3898