Provider Demographics
NPI:1275249807
Name:WANG, SHIHUI TRICIA (PHD, LPC, NCC)
Entity type:Individual
Prefix:
First Name:SHIHUI TRICIA
Middle Name:
Last Name:WANG
Suffix:
Gender:
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:TRICIA SHIHUI
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1178 BROADWAY, 3RD FLOOR, #4199
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:347-809-1937
Mailing Address - Fax:
Practice Address - Street 1:1178 BROADWAY, 3RD FLOOR, #4199
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:347-809-1937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015083101YM0800X
PAPS020211103T00000X
NY026657103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health