Basic Information
| Provider Information | |||||||||
| NPI: | 1508114182 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIN-LIU | ||||||||
| FirstName: | YU YEN (KARI) | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2249 SHADETREE CIRCLE | ||||||||
| Address2: | |||||||||
| City: | BREA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7147184394 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12411 SLAUSON AV. UNIT H | ||||||||
| Address2: | |||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906062835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5626935449 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2012 | ||||||||
| LastUpdateDate: | 08/29/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP 8315 | CA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.