Provider Demographics
NPI:1548678766
Name:TIAN, YUQIAN (MA)
Entity type:Individual
Prefix:
First Name:YUQIAN
Middle Name:
Last Name:TIAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:TIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:1309 BEACON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5252
Mailing Address - Country:US
Mailing Address - Phone:617-286-2526
Mailing Address - Fax:888-892-3929
Practice Address - Street 1:1309 BEACON ST STE 300
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5252
Practice Address - Country:US
Practice Address - Phone:617-286-2526
Practice Address - Fax:888-892-3929
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health