Provider Demographics
NPI:1588943815
Name:WU, ANGELA ZHE (MS)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:ZHE
Last Name:WU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:ZHE WU
Other - Last Name:EITZMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94302-0735
Mailing Address - Country:US
Mailing Address - Phone:510-364-9256
Mailing Address - Fax:
Practice Address - Street 1:555 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2124
Practice Address - Country:US
Practice Address - Phone:650-322-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health