Provider Demographics
NPI:1912190877
Name:LI, SHIHWEI HO
Entity Type:Individual
Prefix:
First Name:SHIHWEI
Middle Name:HO
Last Name:LI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHIHWEI
Other - Middle Name:
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:591 N KING RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-1661
Mailing Address - Country:US
Mailing Address - Phone:408-793-8869
Mailing Address - Fax:
Practice Address - Street 1:591 N KING RD STE 3
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-1661
Practice Address - Country:US
Practice Address - Phone:408-793-8869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT92442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional