Provider Demographics
NPI:1033428867
Name:LIU, HENG-HSIAN NANCY
Entity Type:Individual
Prefix:
First Name:HENG-HSIAN
Middle Name:NANCY
Last Name:LIU
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:H
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2121 BERKELEY WAY # MC1650
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94720-2502
Mailing Address - Country:US
Mailing Address - Phone:510-643-8850
Mailing Address - Fax:
Practice Address - Street 1:2121 BERKELEY WAY # MC1650
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-2502
Practice Address - Country:US
Practice Address - Phone:510-643-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA26859103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program