Provider Demographics
NPI:1477326817
Name:LI, XIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:XIN
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:20111 STEVENS CREEK BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2345
Mailing Address - Country:US
Mailing Address - Phone:408-366-1098
Mailing Address - Fax:
Practice Address - Street 1:20111 STEVENS CREEK BLVD STE 145
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2345
Practice Address - Country:US
Practice Address - Phone:409-366-1098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33472235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist