Provider Demographics
NPI:1346456266
Name:LIU, ZHENNI (M ED)
Entity Type:Individual
Prefix:
First Name:ZHENNI
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:23311 MARIBEL AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5515
Mailing Address - Country:US
Mailing Address - Phone:310-514-7845
Mailing Address - Fax:
Practice Address - Street 1:23311 MARIBEL AVE
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5515
Practice Address - Country:US
Practice Address - Phone:310-514-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48889106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist