Provider Demographics
NPI:1144709874
Name:CHAO, WENG IAN (PHD)
Entity type:Individual
Prefix:MS
First Name:WENG
Middle Name:IAN
Last Name:CHAO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:IAN
Other - Last Name:CHAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:5445 DTC PKWY PH 4
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3059
Mailing Address - Country:US
Mailing Address - Phone:646-941-7645
Mailing Address - Fax:
Practice Address - Street 1:5445 DTC PKWY PH 4
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3059
Practice Address - Country:US
Practice Address - Phone:646-941-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2024-12-25
Deactivation Date:2024-11-14
Deactivation Code:
Reactivation Date:2024-12-24
Provider Licenses
StateLicense IDTaxonomies
CO0006172103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical