Healthcare Provider Details

I. General information

NPI: 1992232516
Provider Name (Legal Business Name): YU-HSIOU LIU M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHOW LIU M.ED

II. Dates (important events)

Enumeration Date: 05/13/2017
Last Update Date: 05/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 HANCOCK ST STE 25
QUINCY MA
02169-4365
US

IV. Provider business mailing address

378 HARVARD ST
CAMBRIDGE MA
02138-4146
US

V. Phone/Fax

Practice location:
  • Phone: 781-925-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: