Provider Demographics
NPI:1891473906
Name:MING, AMY FENG-YING
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:FENG-YING
Last Name:MING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FENG-YING
Other - Middle Name:MING
Other - Last Name:CHIANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:343 RAVENWOOD PL
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2880
Mailing Address - Country:US
Mailing Address - Phone:626-720-3938
Mailing Address - Fax:
Practice Address - Street 1:149 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:OR
Practice Address - Zip Code:97535-6631
Practice Address - Country:US
Practice Address - Phone:626-720-3938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health