Provider Demographics
NPI:1184773269
Name:HUI, TIM (MSW)
Entity type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:HUI
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25159 VALLEY OAK DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-5439
Mailing Address - Country:US
Mailing Address - Phone:510-206-8804
Mailing Address - Fax:510-259-2270
Practice Address - Street 1:24100 AMADOR ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1273
Practice Address - Country:US
Practice Address - Phone:510-206-8804
Practice Address - Fax:510-259-2270
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist