Provider Demographics
NPI:1306361308
Name:CHEN, CHUANLING
Entity Type:Individual
Prefix:
First Name:CHUANLING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 ESSEX ST APT 21
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3125
Mailing Address - Country:US
Mailing Address - Phone:781-333-7043
Mailing Address - Fax:
Practice Address - Street 1:230 ESSEX ST APT 21
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3125
Practice Address - Country:US
Practice Address - Phone:781-333-7043
Practice Address - Fax:781-333-7043
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor