Provider Demographics
NPI:1598997686
Name:CHAN, FLORA (PSYD)
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15011
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-0011
Mailing Address - Country:US
Mailing Address - Phone:415-579-1899
Mailing Address - Fax:
Practice Address - Street 1:2211 POST ST
Practice Address - Street 2:SUITE 401
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3464
Practice Address - Country:US
Practice Address - Phone:415-579-1899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist