Provider Demographics
NPI:1063014108
Name:LIN, CHIH YING
Entity Type:Individual
Prefix:
First Name:CHIH YING
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 NW GILMAN BLVD STE 50
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2485
Mailing Address - Country:US
Mailing Address - Phone:425-459-5214
Mailing Address - Fax:
Practice Address - Street 1:317 NW GILMAN BLVD STE 50
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2485
Practice Address - Country:US
Practice Address - Phone:425-459-5214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3732103K00000X
WABA61247675103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst