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NICOLAS CHU

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

Registrant NPI Number: 1912339540

Individual Registrant:
 NICOLAS  CHU 
Gender: M
Sole Proprietor

Location and contact information for practice:
21 TAMAL VISTA BLVD STE 162  CORTE MADERA, CA 94925-1146 US
Tel: 415-233-7990  Fax: --

Contact information for business:
21 TAMAL VISTA BLVD STE 162  CORTE MADERA, CA 94925-1146 US
Tel: 415-233-7990  Fax: --

Registration Information:
NPI: 1912339540
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY29056

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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