Doctor Name: | RU-CHI YANG |
NPI Number: | 1033264577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, HSPP |
License Number: | 20042108 |
Business Practice Address: | 500 8th Ave Terre Haute, IN - 478044072 |
Business Phone Number: | 8122318408 |
Business Fax Number: | 8122318208 |
Mailing Address: | 620 8th Ave, P.o. Box 4328 TERRE HAUTE |
State: | IN |
Postal Code: | 478042744 |
Phone Number: | 8122318323 |
Fax Number: | 8122318400 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 20042108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |