Provider Demographics
NPI:1912168089
Name:WANG, WEN-CHI (MA)
Entity type:Individual
Prefix:
First Name:WEN-CHI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 VINEYARD TOWN CTR # 154
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5674
Mailing Address - Country:US
Mailing Address - Phone:669-251-1228
Mailing Address - Fax:
Practice Address - Street 1:305 VINEYARD TOWN CTR # 154
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5674
Practice Address - Country:US
Practice Address - Phone:669-251-1228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-21
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14022101YP2500X
MA7348101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health