=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992908271
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARWEN I. TSAI PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2007
-----------------------------------------------------
Last Update Date | 09/20/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 34 S BROADWAY SUITE 600
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10601-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-681-9435
-----------------------------------------------------
Fax | 914-231-9148
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17 CRESCENT PL
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10704-2501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-207-0582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 013980
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------