Healthcare Provider Details

I. General information

NPI: 1861667875
Provider Name (Legal Business Name): YU-CHING HSIAO OSTENDORP LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMMA OSTENDORP LCPC

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA MD
21044-6278
US

IV. Provider business mailing address

8206 SLIPPERY ROCK WAY
LAUREL MD
20723-1056
US

V. Phone/Fax

Practice location:
  • Phone: 410-740-8066
  • Fax:
Mailing address:
  • Phone: 301-502-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP2690
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC6140
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: