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NPI Code Detail

MEDICARE: DR. CHRISTINA CHEN PSYD.

MEDICARE: DR. CHRISTINA CHEN PSYD.
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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1659101327
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA CHEN PSYD.
Provider Business Mailing Address
First Line : 5555 ASCOT DR
Second Line :
City : OAKLAND
State : CA
Zip : 94611-3001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5555 ASCOT DR
Second Line :
City : OAKLAND
State : CA
Zip : 94611-3001
Country : US
Telephone Number : 657-203-1552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 08/06/2024

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Directions to “ DR. CHRISTINA CHEN PSYD.” Practice Location

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