Chung, Agnes

Chung, Agnes is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Chung, Agnes can be contacted via phone (617) 643-6010.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 643-6010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1396291134
LBN Legal business name Chung, Agnes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Aug 4th, 2023 - about 2 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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