Provider Demographics
NPI:1356551295
Name:CHOU, ELAYNE (PHD)
Entity type:Individual
Prefix:DR
First Name:ELAYNE
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 SHATTUCK AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1700
Mailing Address - Country:US
Mailing Address - Phone:510-435-9773
Mailing Address - Fax:510-350-8300
Practice Address - Street 1:1708 SHATTUCK AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1700
Practice Address - Country:US
Practice Address - Phone:510-435-9773
Practice Address - Fax:510-350-8300
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17287103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling