Provider Demographics
NPI:1194694877
Name:ADACHI CHANG, LINA (PHD)
Entity type:Individual
Prefix:DR
First Name:LINA
Middle Name:
Last Name:ADACHI CHANG
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 1:2105 VISTA OESTE NW STE E
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-3693
Mailing Address - Country:US
Mailing Address - Phone:505-398-3185
Mailing Address - Fax:
Practice Address - Street 1:2105 VISTA OESTE NW STE E
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-3693
Practice Address - Country:US
Practice Address - Phone:505-398-3185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling