Basic Information
Provider Information
NPI: 1053476663
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOO
FirstName: LOUISE
MiddleName: HOI YEE
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1385 MISSION ST STE 200
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941032631
CountryCode: US
TelephoneNumber: 4158647833
FaxNumber: 4158647093
Practice Location
Address1: 1385 MISSION ST STE 200
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941032631
CountryCode: US
TelephoneNumber: 4158647833
FaxNumber: 4158647093
Other Information
ProviderEnumerationDate: 12/26/2006
LastUpdateDate: 06/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X18413CAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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