Doctor Name: | YILIN CHEN |
NPI Number: | 1063814325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 077266 |
Business Practice Address: | 4234 212th St Apt 3a Bayside, NY - 113612845 |
Business Phone Number: | 9176486269 |
Business Fax Number: | |
Mailing Address: | 4234 212th St, Apt 3a BAYSIDE |
State: | NY |
Postal Code: | 113612845 |
Phone Number: | 9176486269 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 077266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |