Individual provider · Type 1 NPI
Evangelina Chan, MSW, LCSW
Child & Adolescent Psychiatry Physician · Bridgeport, CT
NPI number
1245576248
Active
Practice location
46 Albion St
Bridgeport, CT 06605-2602
Fax (203) 330-6008
Mailing address
4 W 125th St, Fl 2
New York, NY 10027-4575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 081696-1 (NY) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1245576248
Evangelina Chan, MSW, LCSW's National Provider Identifier is 1245576248, issued on Dec 19, 2012. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 15, 2018.