Chan, Wayne

Chan, Wayne is an individual health care provider with primary practice located at 1205 Hearthstone Ln , Santa Maria CA 93454-4729. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chan, Wayne can be contacted via phone (510) 590-6865.

Contact Information

Primary practice address
1205 Hearthstone Ln Santa Maria CA 93454-4729
Phone: (510) 590-6865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004177 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY27684 California

Profile Details

NPI number 1669612727
LBN Legal business name Chan, Wayne
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Mar 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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