Provider Demographics
NPI:1891545158
Name:HSIEH, PEI-JUNG KAREN
Entity Type:Individual
Prefix:
First Name:PEI-JUNG
Middle Name:KAREN
Last Name:HSIEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:500 4TH AVE APT 8F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4887
Mailing Address - Country:US
Mailing Address - Phone:510-366-1238
Mailing Address - Fax:
Practice Address - Street 1:500 4TH AVE APT 8F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4887
Practice Address - Country:US
Practice Address - Phone:510-366-1238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional