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Contact Information

EVANGELINA CHAN, MSW,LCSW
46 ALBION ST
BRIDGEPORT, CT06605-2602
 Phone: 203-330-6000
 Fax: 203-330-6008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for EVANGELINA CHAN · (Female)

NPI Number 1245576248
Status Active
Credentials MSW,LCSW
Entity Individual
Enumeration date 12/19/2012
Last updated 03/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 081696-1
  • CT Medicaid 004236148
  • CT Other 008301 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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