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ELSIE CHENG

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1225317712

Individual Registrant:
 ELSIE  CHENG 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3102 E. HIGHLAND AVENUE PATTON STATE HOSPITAL PATTON, CA 92369 US
Tel: 909-425-7679  Fax: 909-425-6635

Contact information for business:
1600 9TH STREET ROOM 205, MAILSTOP 2-3 SACRAMENTO, CA 94244-2020 US
Tel: 916-654-3482  Fax: 916-653-4587

Registration Information:
NPI: 1225317712
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CA24344

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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