Yumeng Fang, PH.D.
Individual provider Active NPI Clinical Psychologist · Millbrae, CA
NPI 1396567210 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1396567210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 34881 (CA)
- Practice address
- 612A Chadbourne Ave
Millbrae, CA 94030-2421 - Phone
- (919) 536-9065
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34881 | CA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34881 | CA | Yes |
Addresses
Primary practice location
612A Chadbourne Ave
Millbrae, CA 94030-2421
Mailing address
612A Chadbourne Ave
Millbrae, CA 94030-2421
Other providers in Millbrae, CA
- Diyavilla, Inc
- Dr Patricia Chang Optometric Group Inc.
- Dr. Janet C. Lim , D.M.D
- Judith Anne Durkac
- Emt Health Voyage Medical Transportation LLC
- Alice Feldman I
- Biyan Feng
- Anne Winne Fisher
- Ysabel Marie Florendo
- Bianca Francesca Chavez Flores
All providers in Millbrae, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.