Provider Demographics
NPI:1013168764
Name:CHOW, STANLEY (MA)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 CRENSHAW BLVD
Mailing Address - Street 2:ICAT/DMH
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501
Mailing Address - Country:US
Mailing Address - Phone:310-972-3337
Mailing Address - Fax:
Practice Address - Street 1:2325 CRENSHAW BLVD
Practice Address - Street 2:ICAT/DMH
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3325
Practice Address - Country:US
Practice Address - Phone:310-972-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent