Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY21063 | CA |
Y | 103T00000X | Psychologist | PSY21063 | CA |
NPI | 1013087279 |
---|---|
Provider Name | Dr. Collins Tse Chiu |
First Address | Santa Clara, CA 95054-4155 |
Second Address | Santa Clara, CA 95054-4155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 18/11/2010 |