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NPI Code Detail

MEDICARE: DR. CHRISTINE M. CHEW PH.D.

MEDICARE: DR. CHRISTINE M. CHEW PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6301013799MI
2103T00000XPsychologistPS009147LPA
3103TC0700XClinical Psychologist003973CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1680B516180OTHERMIBCBSM PIN
2680B510920OTHERMIBCBSM GROUP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518933282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE M. CHEW PH.D.
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 MOUNT CARMEL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1908
Country : US
Telephone Number : 203-407-4020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 06/11/2024

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