MEDICARE: YING SHAN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC009685	PA

General Provider Information

NPI Number	:	1205359445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YING SHAN LPC

Provider Business Mailing Address
First Line	:	756 ADAMS AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-2330
Country	:	US
Telephone Number	:	215-533-3660
Fax Number	:	215-533-3682

Provider Business Practice Location Address
First Line	:	756 ADAMS AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-2330
Country	:	US
Telephone Number	:	215-533-3660
Fax Number	:	215-533-3682

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	01/16/2025

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Directions to “ YING SHAN LPC” Practice Location

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