Provider Demographics
NPI:1811165004
Name:CHEN, JOCELYN P (PSY)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:P
Last Name:CHEN
Suffix:
Gender:F
Credentials:PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 S FLOWER ST
Mailing Address - Street 2:#368
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2805
Mailing Address - Country:US
Mailing Address - Phone:213-430-9180
Mailing Address - Fax:213-430-9193
Practice Address - Street 1:5301 E. WHITTER BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022
Practice Address - Country:US
Practice Address - Phone:213-430-9180
Practice Address - Fax:213-430-9193
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20931103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling