| Doctor Name: | ELSIE CHENG |
| NPI Number: | 1225317712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 24344 |
| Business Practice Address: | 3102 E. Highland Avenue Patton State Hospital Patton, CA - 92369 |
| Business Phone Number: | 9094257679 |
| Business Fax Number: | 9094256635 |
| Mailing Address: | 1600 9th Street, Room 205, Mailstop 2-3 SACRAMENTO |
| State: | CA |
| Postal Code: | 942442020 |
| Phone Number: | 9166543482 |
| Fax Number: | 9166534587 |
| NPI Enumeration Date: | 08/15/2011 |
| NPI Last Update Date: | 08/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 24344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |