Provider Demographics
NPI:1598824757
Name:XIAO, DUQIONG (MA LMHC)
Entity type:Individual
Prefix:MRS
First Name:DUQIONG
Middle Name:
Last Name:XIAO
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15061 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5413
Mailing Address - Country:US
Mailing Address - Phone:718-960-0400
Mailing Address - Fax:718-960-9317
Practice Address - Street 1:15061 58TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5413
Practice Address - Country:US
Practice Address - Phone:718-960-0400
Practice Address - Fax:718-960-9317
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001834103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical