Ivy Chong PHD

NPI 1033306733 - Psychologist - 103TC2200X

NPI Details
NPI 1033306733
Gender Female
Enumeration Date 09/27/2007
Last Updated 07/11/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
150 W UNIVERSITY BLVD
SCOTT CENTER FOR AUTISM TREATMENT
MELBOURNE FL, 32901-6982, US
Phone (321) 674-8615
Fax (321) 674-8411
Business Location
150 W UNIVERSITY BLVD
SCOTT CENTER FOR AUTISM TREATMENT
MELBOURNE FL, 32901-6982, US
Phone (321) 674-8615
Fax (321) 674-8411
Toxanomy
Taxonomy Code 103TC2200X
License State Michigan
License Number 6301012869
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According to our database, Dr. Ivy Chong PHD NPI is 1033306733, taxonomy code is 103TC2200X and license number is 6301012869, license state is located at Michigan. Ivy Chong PHD physically located at 150 W University Blvd, Melbourne FL, 32901-6982. NPI Number Ivy Chong PHD has the Individual type.

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1033306733 NPI number is provided on an as is basis without warranty of any kind. 1033306733 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy Chong PHD are for informational purposes only.