Doctor Name: | MS. YING-JU AMANDA CHEN |
NPI Number: | 1710219969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP11838 |
Business Practice Address: | 133 E Bonita Ave #200 San Dimas, CA - 917733173 |
Business Phone Number: | 6262400794 |
Business Fax Number: | 6265290098 |
Mailing Address: | 1142 S Diamond Bar Blvd, #209 DIAMOND BAR |
State: | CA |
Postal Code: | 917652203 |
Phone Number: | 6263291661 |
Fax Number: | 6265290098 |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 02/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP11838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |