Chong, Ivy
Chong, Ivy is an individual health care provider with primary practice located at 150 W University Blvd Scott Center For Autism Treatment, Melbourne FL 32901-6982. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Chong, Ivy can be contacted via phone (321) 674-8615.Contact Information
Primary practice address
150 W University Blvd Scott Center For Autism Treatment
Melbourne FL 32901-6982
Phone: (321) 674-8615
Fax: (321) 674-8411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-04-1585 | Florida |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6301012869 | Michigan |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 8214 | Florida |
Profile Details
NPI number | 1033306733 |
---|---|
LBN Legal business name | Chong, Ivy |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2007 |
Last updated | Jul 11th, 2011 - about 14 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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