Provider Demographics
NPI:1821434994
Name:CHIANG, MENGCHUN (PHD, LP)
Entity Type:Individual
Prefix:
First Name:MENGCHUN
Middle Name:
Last Name:CHIANG
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 4TH AVE FL 11
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2108
Mailing Address - Country:US
Mailing Address - Phone:412-701-1366
Mailing Address - Fax:
Practice Address - Street 1:2015 DARTMORE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210
Practice Address - Country:US
Practice Address - Phone:412-785-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018021103TC0700X
MA10343103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical