Provider Demographics
NPI:1952062960
Name:PEI, YALIAN
Entity Type:Individual
Prefix:
First Name:YALIAN
Middle Name:
Last Name:PEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 ROGERS RD APT Q113
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-6442
Mailing Address - Country:US
Mailing Address - Phone:706-248-9132
Mailing Address - Fax:
Practice Address - Street 1:210 ROGERS RD APT Q113
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-6442
Practice Address - Country:US
Practice Address - Phone:706-248-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist