Provider Demographics
NPI:1730861717
Name:YU-WU, CINDY XINYAN
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:XINYAN
Last Name:YU-WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:XINYAN
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2630 W BROWARD BLVD STE 2031938
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-1314
Mailing Address - Country:US
Mailing Address - Phone:606-219-0512
Mailing Address - Fax:
Practice Address - Street 1:2630 W BROWARD BLVD STE 2031938
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1314
Practice Address - Country:US
Practice Address - Phone:786-860-2228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4764106H00000X
AL638106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist