Provider Demographics
NPI:1699321810
Name:LAU, CHRISTY ANN FENG-CHUAN (MSSW)
Entity type:Individual
Prefix:MISS
First Name:CHRISTY ANN
Middle Name:FENG-CHUAN
Last Name:LAU
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 MOTT ST STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4241
Mailing Address - Country:US
Mailing Address - Phone:818-837-3775
Mailing Address - Fax:818-837-3799
Practice Address - Street 1:732 MOTT ST STE 150
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4241
Practice Address - Country:US
Practice Address - Phone:818-837-3775
Practice Address - Fax:818-837-3799
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator