Provider Demographics
NPI:1942569025
Name:CHEN, MENG-YIN (PHD)
Entity Type:Individual
Prefix:
First Name:MENG-YIN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:MENGYIN
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:941 S ATLANTIC BLVD
Mailing Address - Street 2:SUITE #221
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4722
Mailing Address - Country:US
Mailing Address - Phone:626-284-4202
Mailing Address - Fax:626-284-3926
Practice Address - Street 1:941 S ATLANTIC BLVD
Practice Address - Street 2:SUITE #221
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4722
Practice Address - Country:US
Practice Address - Phone:626-284-4202
Practice Address - Fax:626-284-3926
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
82163101YP2500X
CA47284106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional