Provider Demographics
NPI:1992132476
Name:LIEN, CHIA YU
Entity type:Individual
Prefix:
First Name:CHIA YU
Middle Name:
Last Name:LIEN
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 1:10004 KENNERLY RD
Mailing Address - Street 2:STE 362B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2178
Mailing Address - Country:US
Mailing Address - Phone:314-525-5050
Mailing Address - Fax:314-525-5072
Practice Address - Street 1:10004 KENNERLY RD
Practice Address - Street 2:STE 362B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2178
Practice Address - Country:US
Practice Address - Phone:314-525-5050
Practice Address - Fax:314-525-5072
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018020175363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health