Provider Demographics
NPI:1275092918
Name:CHIU, PEI-FANG (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PEI-FANG
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2901 MOORPARK AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2557
Mailing Address - Country:US
Mailing Address - Phone:408-883-7720
Mailing Address - Fax:
Practice Address - Street 1:2901 MOORPARK AVE STE 270
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2557
Practice Address - Country:US
Practice Address - Phone:408-455-6942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113185106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty