Healthcare Provider Details

I. General information

NPI: 1063552032
Provider Name (Legal Business Name): ANNIE LIU LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20660 STEVENS CREEK BLVD # 187
CUPERTINO CA
95014-2120
US

IV. Provider business mailing address

20660 STEVENS CREEK BLVD # 187
CUPERTINO CA
95014-2120
US

V. Phone/Fax

Practice location:
  • Phone: 408-975-2730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC46001
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: