Healthcare Provider Details

I. General information

NPI: 1669710844
Provider Name (Legal Business Name): YEN-PEI HUANG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2013
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7042 ELMWOOD AVE.
PHILADELPHIA PA
19142
US

IV. Provider business mailing address

7042 ELMWOOD AVE.
PHILADELPHIA PA
19142
US

V. Phone/Fax

Practice location:
  • Phone: 215-937-0700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006598
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: