Healthcare Provider Details

I. General information

NPI: 1932028792
Provider Name (Legal Business Name): TIANHONG YAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NORTH HALL, 180 E QUAD UC DAVIS COUNSELING SERVICES
DAVIS CA
95616
US

IV. Provider business mailing address

1401 ARCH ST APT 1003
PHILADELPHIA PA
19102-1654
US

V. Phone/Fax

Practice location:
  • Phone: 530-752-2300
  • Fax:
Mailing address:
  • Phone: 267-205-4304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: