Provider Demographics
NPI:1801599154
Name:HUANG, CHIH-CHI
Entity type:Individual
Prefix:
First Name:CHIH-CHI
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W DAVIS AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-3148
Mailing Address - Country:US
Mailing Address - Phone:580-340-6105
Mailing Address - Fax:
Practice Address - Street 1:117 W DAVIS AVE APT 7
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-3148
Practice Address - Country:US
Practice Address - Phone:580-340-6105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OK54225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator