MEDICARE: SIU-KUEN AZOR HUI PHD, MSPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PS018173	PA
2	103TC0700X	Clinical Psychologist	PS018173	PA

General Provider Information

NPI Number	:	1336685916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIU-KUEN AZOR HUI PHD, MSPH

Provider Business Mailing Address
First Line	:	PO BOX 1388
Second Line	:
City	:	KINGSTON
State	:	PA
Zip	:	18704-0379
Country	:	US
Telephone Number	:	570-288-8881
Fax Number	:	570-288-8065

Provider Business Practice Location Address
First Line	:	390 COMMERCE DR # 331
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2600
Country	:	US
Telephone Number	:	484-690-4516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	01/08/2026

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