Provider Demographics
NPI:1164441341
Name:CHOU, YU-WEN (PSYD)
Entity Type:Individual
Prefix:
First Name:YU-WEN
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MADISON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-796-3760
Mailing Address - Fax:973-796-3769
Practice Address - Street 1:26 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7310
Practice Address - Country:US
Practice Address - Phone:973-796-3760
Practice Address - Fax:973-796-3769
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015802103T00000X, 103TC0700X
NJ35SI00481600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02606471Medicaid
NYQ11191Medicare UPIN
NYA400028967Medicare PIN
NY02606471Medicaid