Provider Demographics
NPI:1932516986
Name:YANG, CHIA-YU JUDY (LCAT, LMHC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:CHIA-YU JUDY
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:LCAT, LMHC, ATR-BC
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCAT, LMHC, ATR-BC
Mailing Address - Street 1:2640 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208
Mailing Address - Country:US
Mailing Address - Phone:718-827-8700
Mailing Address - Fax:
Practice Address - Street 1:901 BOREN AVENUE
Practice Address - Street 2:SUITE 1300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:425-610-7362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60401097101YM0800X
SC13-035221700000X
NY001901-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health