Chung, Mina

Chung, Mina is an sole proprietor health care provider with primary practice located at 205 Waterman St Ste 203 , Providence RI 02906-4313. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chung, Mina can be contacted via phone (401) 326-2845.

Contact Information

Primary practice address
205 Waterman St Ste 203 Providence RI 02906-4313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01018 Rhode Island

Profile Details

NPI number 1609071703
LBN Legal business name Chung, Mina
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated Mar 21st, 2019 - about 6 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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