Dr. Nicola Marie Chung
Clinical Psychologist
1021 Ives Dairy Rd Suite 119
North Miami Beach
, Florida 33179-2537
Dr. Nicola Marie Chung
Clinical Psychologist
1021 Ives Dairy Rd Suite 119
North Miami Beach
, Florida 33179-2537
(305) 490-8590
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Nicola Marie Chung
- 1021 Ives Dairy Rd Suite 119
- North Miami Beach, FL
- Zip : 33179-2537
- Phone : (305) 490-8590
Second Address
- Dr. Nicola Marie Chung
- 1021 Ives Dairy Rd Suite 119
- North Miami Beach, FL
- Zip : 33179-2537
- Phone : (305) 490-8590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PY 7307 | FL |
| Y | 103TC0700X | Clinical Psychologist | PY 7307 | FL |
National Provider Identifier
| NPI | 1003856121 |
|---|---|
| Provider Name | Dr. Nicola Marie Chung |
| First Address | North Miami Beach, FL 33179-2537 |
| Second Address | North Miami Beach, FL 33179-2537 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 14/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.