NPI 1033960794 · live from the CMS NPI Registry
Lawrence Ming-An Chan, PsyD
Psychologist, Clinical in Providence, RI. National Provider Identifier 1033960794, active.
NPI record
| NPI | 1033960794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1 Richmond Sq Ste 300e, Providence, RI 02906 |
| Practice phone | 401-481-8351 |
| Mailing address | 100 Exchange St Unit 607, Providence, RI 02903 |
| Enumerated | April 1, 2024 |
| Last updated | December 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | — |
| Psychologist, Clinical primary | 103TC0700X | PS02316 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.