Provider Demographics
NPI:1811181142
Name:CHOU, DIANA TAI-YING (PSYD)
Entity type:Individual
Prefix:
First Name:DIANA TAI-YING
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:DIANA TAIYING
Other - Middle Name:
Other - Last Name:CHOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2785 PACIFIC COAST HWY STE E190
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7066
Mailing Address - Country:US
Mailing Address - Phone:657-888-5318
Mailing Address - Fax:657-549-6668
Practice Address - Street 1:2785 PACIFIC COAST HWY STE E-190
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-7066
Practice Address - Country:US
Practice Address - Phone:657-888-5318
Practice Address - Fax:657-549-6668
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24306103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical