Chung, Nicola Marie
Chung, Nicola Marie is an sole proprietor health care provider with primary practice located at 1021 Ives Dairy Rd Suite 119, North Miami Beach FL 33179-2537. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chung, Nicola Marie can be contacted via phone (305) 490-8590.Contact Information
Primary practice address
1021 Ives Dairy Rd Suite 119
North Miami Beach FL 33179-2537
Phone: (305) 490-8590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY 7307 | Florida |
Profile Details
| NPI number | 1003856121 |
|---|---|
| LBN Legal business name | Chung, Nicola Marie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 14th, 2013 - about 11 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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