Provider Demographics
NPI:1467141234
Name:LAU, KIN HANG (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIN
Middle Name:HANG
Last Name:LAU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5755 COTTLE RD BLDG 24
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3640
Mailing Address - Country:US
Mailing Address - Phone:408-972-3265
Mailing Address - Fax:
Practice Address - Street 1:5755 COTTLE RD BLDG 24
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3640
Practice Address - Country:US
Practice Address - Phone:408-972-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33973103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling