Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 11095 | MA |
Y | 103TC0700X | Clinical Psychologist | 11095 | MA |
NPI | 1023642865 |
---|---|
Provider Name | Dr. Chia Hsuan Sabrina Chang |
First Address | Boston, MA 02115-6115 |
Second Address | Boston, MA 02115-6115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2020 |
Last Update Date | 02/03/2020 |