Provider Demographics
NPI:1144694589
Name:TZENG, PEI-YIH BRYAN (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:PEI-YIH
Middle Name:BRYAN
Last Name:TZENG
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6777 CAMP BOWIE BLVD STE 229
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-7157
Mailing Address - Country:US
Mailing Address - Phone:682-231-3104
Mailing Address - Fax:
Practice Address - Street 1:8098 PRECINCT LINE RD # 110
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-7693
Practice Address - Country:US
Practice Address - Phone:682-231-3104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional