Provider Demographics
NPI:1255561999
Name:CHIU, BRENDA PEICHEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:PEICHEN
Last Name:CHIU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9530 HAGEMAN RD
Mailing Address - Street 2:STE B. #169
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-3959
Mailing Address - Country:US
Mailing Address - Phone:909-293-9588
Mailing Address - Fax:
Practice Address - Street 1:9530 HAGEMAN RD
Practice Address - Street 2:STE B. #169
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-3959
Practice Address - Country:US
Practice Address - Phone:909-293-9588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27228103TC0700X
CAPSB 34689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical