Provider Demographics
NPI:1639368947
Name:HO, CHIN CHIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHIN CHIN
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 SAINT CHARLES AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5268
Mailing Address - Country:US
Mailing Address - Phone:504-525-5070
Mailing Address - Fax:504-525-6510
Practice Address - Street 1:1820 SAINT CHARLES AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5268
Practice Address - Country:US
Practice Address - Phone:504-525-5070
Practice Address - Fax:504-525-6510
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA293103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent