Provider Demographics
NPI:1659443778
Name:LIU, TING (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:TING
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 INDIAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3836
Mailing Address - Country:US
Mailing Address - Phone:267-426-5103
Mailing Address - Fax:215-590-7410
Practice Address - Street 1:3535 MARKET ST
Practice Address - Street 2:SUITE 1230
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3309
Practice Address - Country:US
Practice Address - Phone:267-426-5103
Practice Address - Fax:215-590-7410
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000496106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist