Provider Demographics
NPI:1447989918
Name:CHANG, YEN PEI CHRISTY (MS)
Entity type:Individual
Prefix:
First Name:YEN PEI
Middle Name:CHRISTY
Last Name:CHANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5232 DOWNING RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4114
Mailing Address - Country:US
Mailing Address - Phone:443-851-7957
Mailing Address - Fax:
Practice Address - Street 1:57 W TIMONIUM RD STE 207
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3105
Practice Address - Country:US
Practice Address - Phone:443-729-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health