Provider Demographics
NPI:1932605680
Name:LIAO, LIANG (PHD, MBA, MS)
Entity Type:Individual
Prefix:DR
First Name:LIANG
Middle Name:
Last Name:LIAO
Suffix:
Gender:M
Credentials:PHD, MBA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18420 102ND AVE NE APT 322
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3524
Mailing Address - Country:US
Mailing Address - Phone:714-624-6478
Mailing Address - Fax:
Practice Address - Street 1:18420 102ND AVE NE APT 322
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3524
Practice Address - Country:US
Practice Address - Phone:714-624-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29861103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist