Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PY00000850 | WA |
NPI | 1003962812 |
---|---|
Provider Name | Jeanette J Chen |
First Address | Bellevue, WA 98007-3907 |
Second Address | Bellevue, WA 98007-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/07/2007 |