Doctor Name: | WENDY TIEN |
NPI Number: | 1487606430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS19983 |
Business Practice Address: | 520 So. Lafayette Pk. Pl. 3rd Floor La, CA - 90057 |
Business Phone Number: | 2132522100 |
Business Fax Number: | 2133833146 |
Mailing Address: | 520 So. Lafayette Pk. Pl., 3rd Floor LA |
State: | CA |
Postal Code: | 90057 |
Phone Number: | 2132522100 |
Fax Number: | 2133833146 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS19983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |