Healthcare Provider Details

I. General information

NPI: 1588006910
Provider Name (Legal Business Name): MS. PI-CHEN HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 WASHINGTON ST
SAN FRANCISCO CA
94115-1816
US

IV. Provider business mailing address

29 TOLEDO WAY
SAN FRANCISCO CA
94123-2108
US

V. Phone/Fax

Practice location:
  • Phone: 415-515-2965
  • Fax:
Mailing address:
  • Phone: 415-515-2965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY29148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: