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Provider Information for 1730954702


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Ms. SYDNEY TU LCSW


Sex: Female

NPI: 1730954702
Last Updated: 2023-11-20
Certification Date: 2023-11-20

Details

NameValue
NPI1730954702
Enumeration Date2023-11-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 128 E ANDRIX ST
MONTEREY PARK, CA 91755-6624
United States

Phone: 626-524-6302 | Fax:
 
Primary Practice Address 128 E ANDRIX ST
MONTEREY PARK, CA 91755-6624
United States

Phone: 626-524-6302 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthCALCSW65967