Provider Demographics
NPI:1275080111
Name:HU, YU-FENG EMILY (PHD)
Entity Type:Individual
Prefix:
First Name:YU-FENG
Middle Name:EMILY
Last Name:HU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2510 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-3581
Mailing Address - Country:US
Mailing Address - Phone:310-893-1978
Mailing Address - Fax:
Practice Address - Street 1:2510 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3581
Practice Address - Country:US
Practice Address - Phone:310-893-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60665188103T00000X
CA28542103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist