Provider Demographics
NPI:1780833012
Name:CHANG, TZEFANG FRANCES (MA)
Entity Type:Individual
Prefix:MS
First Name:TZEFANG
Middle Name:FRANCES
Last Name:CHANG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14223 38TH AVE APT A3
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5573
Mailing Address - Country:US
Mailing Address - Phone:718-353-4101
Mailing Address - Fax:718-321-8224
Practice Address - Street 1:14223 38TH AVE APT A3
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5573
Practice Address - Country:US
Practice Address - Phone:718-353-4101
Practice Address - Fax:718-321-8224
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6639235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist