Provider Demographics
NPI:1194544304
Name:RADLEY TSENG, BRITNY (PPS)
Entity type:Individual
Prefix:
First Name:BRITNY
Middle Name:
Last Name:RADLEY TSENG
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38442 FREMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6031
Mailing Address - Country:US
Mailing Address - Phone:510-505-7300
Mailing Address - Fax:
Practice Address - Street 1:38442 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6031
Practice Address - Country:US
Practice Address - Phone:510-505-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220060383101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool