Jana B. Chan PHD
Clinical Psychologist in Indianapolis, IN(View on Map)
Full Name
Jana B Chan PHD
NPI Number
1497273015
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/04/2017
Specialties
(Taxonomies)Licenses
State
Indiana
License Number
20043084A
Contact
Information
Purpose
Mailing
Location
Address
250 N SHADELAND AVE
355 W 16TH STREET GOODMAN HALL
City
Indianapolis
Indianapolis
State
IN
IN
Postal Code
46219-4959
46202
Country
US
US
Telephone Number
N/A
(317) 963-7328
Identifiers
Identifier
300006445
262210031
000001115087
Identifier State
IN
IN
IN
Identifier Issuer
Unknown
MEDICARE PTAN
ANTHEM PTAN
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
JDYKSTRA@direct.iuhealth.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
355 W 16th Street Goodman HallIndianapolis, IN46202US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/01/2024
Provider Address
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