Provider Demographics
NPI:1790262178
Name:CHENG, MIN (PHD)
Entity type:Individual
Prefix:
First Name:MIN
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 BISHOP ST UNIT 1112
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6712
Mailing Address - Country:US
Mailing Address - Phone:901-569-8505
Mailing Address - Fax:
Practice Address - Street 1:1132 BISHOP ST UNIT 1112
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6712
Practice Address - Country:US
Practice Address - Phone:901-569-8505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10847103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty