Provider Demographics
NPI:1790308088
Name:TSOU, WEI (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:TSOU
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:
Other - Last Name:TSOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:405 E 61ST ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 E 61ST ST APT 4A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8718
Practice Address - Country:US
Practice Address - Phone:646-824-3250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029712235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty