Provider Demographics
NPI:1578217683
Name:GAO, YANGFEIFEI (PHD)
Entity Type:Individual
Prefix:DR
First Name:YANGFEIFEI
Middle Name:
Last Name:GAO
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 1:11351 WOODGLEN DR APT 426
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-6014
Mailing Address - Country:US
Mailing Address - Phone:847-830-6804
Mailing Address - Fax:
Practice Address - Street 1:15245 SHADY GROVE RD STE 350
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6237
Practice Address - Country:US
Practice Address - Phone:301-765-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06686103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical