MEDICARE: TING CHEUNG

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	106H00000X	Marriage & Family Therapist	49848	CA

General Provider Information

NPI Number	:	1417242082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TING CHEUNG

Provider Business Mailing Address
First Line	:	20253 REDWOOD RD
Second Line	:	SUITE A
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4331
Country	:	US
Telephone Number	:	510-247-9831
Fax Number	:

Provider Business Practice Location Address
First Line	:	20253 REDWOOD RD
Second Line	:	SUITE A
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4331
Country	:	US
Telephone Number	:	510-247-9831
Fax Number	:

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

Provider Enumeration Date	:	06/12/2011
Last Update Date	:	06/12/2011

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Directions to “ TING CHEUNG ” Practice Location

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