Provider Demographics
NPI:1598074767
Name:SIEW LIAN JOLIN KUEK INC
Entity Type:Organization
Organization Name:SIEW LIAN JOLIN KUEK INC
Other - Org Name:SIEW LIAN JOLIN KUEK INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIEW
Authorized Official - Middle Name:JOLIN
Authorized Official - Last Name:KUEK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:650-343-3008
Mailing Address - Street 1:501 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3213
Mailing Address - Country:US
Mailing Address - Phone:650-343-3008
Mailing Address - Fax:
Practice Address - Street 1:501 1ST AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3213
Practice Address - Country:US
Practice Address - Phone:650-343-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 21387103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty