Provider Demographics
NPI:1225439813
Name:CHEN, SHUPING (NGH)
Entity Type:Individual
Prefix:
First Name:SHUPING
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:NGH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 N GARFIELD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1427
Mailing Address - Country:US
Mailing Address - Phone:702-267-8680
Mailing Address - Fax:
Practice Address - Street 1:807 N GARFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1427
Practice Address - Country:US
Practice Address - Phone:702-267-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNGH42285101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY42285OtherNATIONAL GUILD OF HYPNOTISTS