Provider Demographics
NPI:1346531670
Name:SIN, VICKY WAI KEI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VICKY WAI KEI
Middle Name:
Last Name:SIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14248 DICKENS ST APT 118
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4158
Mailing Address - Country:US
Mailing Address - Phone:617-671-5611
Mailing Address - Fax:
Practice Address - Street 1:14248 DICKENS ST APT 118
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-4158
Practice Address - Country:US
Practice Address - Phone:617-671-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2012-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17207235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist