Provider Demographics
NPI:1447565189
Name:PU, CHUNYU (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHUNYU
Middle Name:
Last Name:PU
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:PO BOX 5063
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95150-5063
Mailing Address - Country:US
Mailing Address - Phone:408-219-2320
Mailing Address - Fax:408-298-7642
Practice Address - Street 1:19925 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2300
Practice Address - Country:US
Practice Address - Phone:408-219-2320
Practice Address - Fax:408-298-7642
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15901103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical