IndividualActive
Evangelina Chan, MSW,LCSW
NPI 1245576248 · Child & Adolescent Psychiatry Physician · Bridgeport, CT
Provider details
- NPI number
- 1245576248
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MSW,LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 081696-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
46 Albion St
Bridgeport, CT 06605-2602
Phone: (203) 330-6000
Fax: (203) 330-6008
Approximate (ZIP-level) locationGet directions
Mailing address
4 W 125th St
New York, NY 10027-4575
Registry dates
- Enumerated
- 2012-12-19
- Last updated
- 2018-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.