Provider Demographics
NPI:1669727335
Name:CHEN, YUNG HAN
Entity type:Individual
Prefix:MS
First Name:YUNG HAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:12541 CENTRALIA ST
Mailing Address - Street 2:APT 21
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1805
Mailing Address - Country:US
Mailing Address - Phone:352-870-2026
Mailing Address - Fax:
Practice Address - Street 1:12541 CENTRALIA ST
Practice Address - Street 2:APT 21
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90715-1805
Practice Address - Country:US
Practice Address - Phone:352-870-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19808235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist