Basic Information
| Provider Information | |||||||||
| NPI: | 1992908271 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TSAI | ||||||||
| FirstName: | ARWEN | ||||||||
| MiddleName: | I. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | TSAI | ||||||||
| OtherFirstName: | OLIVE | ||||||||
| OtherMiddleName: | I | ||||||||
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| OtherCredential: | PHD | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 17 CRESCENT PL | ||||||||
| Address2: | |||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107042501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142070582 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 34 S BROADWAY | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106014400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146819435 | ||||||||
| FaxNumber: | 9142319148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 09/20/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 013980 | NY | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.