Provider Demographics
NPI:1417115114
Name:CHEN, BAI-YIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:BAI-YIN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE SHIELDS AVE
Mailing Address - Street 2:COUNSELING AND PSYCHOLOGICAL SERVICES 219 NORTH HALL
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-8568
Mailing Address - Country:US
Mailing Address - Phone:530-752-0871
Mailing Address - Fax:530-752-9923
Practice Address - Street 1:ONE SHIELDS AVE
Practice Address - Street 2:COUNSELING AND PSYCHOLOGICAL SERVICES 219 NORTH HALL
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-8568
Practice Address - Country:US
Practice Address - Phone:530-752-0871
Practice Address - Fax:530-752-9923
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 21954103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling