Healthcare Provider Details

I. General information

NPI: 1316472095
Provider Name (Legal Business Name): DEBBIE HSIN YI LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2551
US

IV. Provider business mailing address

PO BOX 2346
GLENDORA CA
91740-2346
US

V. Phone/Fax

Practice location:
  • Phone: 833-319-3969
  • Fax:
Mailing address:
  • Phone: 626-662-9685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number4115
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: