Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | PSY 017443 | NY |
Y | 103TC1900X | Counseling Psychologist | PSY 22323 | CA |
NPI | 1043534035 |
---|---|
Provider Name | Ya-Shu Liang |
First Address | Fullerton, CA 92834-6830 |
Second Address | Tustin, CA 92780-3148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2010 |
Last Update Date | 18/03/2010 |