Provider Demographics
NPI:1902121593
Name:LIU, CHENG-WEI
Entity Type:Individual
Prefix:
First Name:CHENG-WEI
Middle Name:
Last Name:LIU
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 1:20 E CUMBERLAND ST
Mailing Address - Street 2:APT 4
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4192
Mailing Address - Country:US
Mailing Address - Phone:484-707-0369
Mailing Address - Fax:
Practice Address - Street 1:1404 HAY ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:PA
Practice Address - Zip Code:15530-1455
Practice Address - Country:US
Practice Address - Phone:814-267-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005565L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist