Healthcare Provider Details

I. General information

NPI: 1295417574
Provider Name (Legal Business Name): CHUN YI JOEY CHEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBORVIEW MEDICAL CENTER, 5TH FLOOR 325 NINTH AVE
SEATTLE WA
98112
US

IV. Provider business mailing address

1645 W JACKSON BLVD STE 400
CHICAGO IL
60612-3244
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3452
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071022452
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: