Provider Demographics
NPI:1275786337
Name:CHANG, ROSANNA WEI (MS)
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:WEI
Last Name:CHANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 BALBOA ST
Mailing Address - Street 2:APT. #201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2520
Mailing Address - Country:US
Mailing Address - Phone:650-279-1646
Mailing Address - Fax:
Practice Address - Street 1:2355 FOLSOM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2010
Practice Address - Country:US
Practice Address - Phone:415-695-5719
Practice Address - Fax:415-695-5379
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2008-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health