Provider Demographics
NPI:1679870778
Name:HSIEH, HUOY-JING (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HUOY-JING
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:4124 147TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1238
Mailing Address - Country:US
Mailing Address - Phone:917-502-9956
Mailing Address - Fax:
Practice Address - Street 1:4124 147TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1238
Practice Address - Country:US
Practice Address - Phone:917-502-9956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018748-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist