Provider Demographics
NPI:1558656330
Name:WANG, XIAO YING MAY (MFT)
Entity Type:Individual
Prefix:MRS
First Name:XIAO YING
Middle Name:MAY
Last Name:WANG
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 W 232ND ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3509
Mailing Address - Country:US
Mailing Address - Phone:310-908-2510
Mailing Address - Fax:
Practice Address - Street 1:2780 SKYPARK DR STE 205
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5343
Practice Address - Country:US
Practice Address - Phone:310-908-2510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49117106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist