Provider Demographics
NPI:1245494343
Name:CHU, HSIAO-CHING (PSYD)
Entity type:Individual
Prefix:
First Name:HSIAO-CHING
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DARLING DR STE 16
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-4244
Mailing Address - Country:US
Mailing Address - Phone:860-798-4148
Mailing Address - Fax:
Practice Address - Street 1:1 DARLING DR STE 16
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-4244
Practice Address - Country:US
Practice Address - Phone:860-798-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003466103TC0700X
NY017557103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical