| Doctor Name: | DR. MI JUNG PAE |
| NPI Number: | 1437398989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY19327 |
| Business Practice Address: | 701 Scofield Ave Wasco, CA - 932807515 |
| Business Phone Number: | 6617588400 |
| Business Fax Number: | |
| Mailing Address: | 701 Scofield Ave, P.o. Box 8800 WASCO |
| State: | CA |
| Postal Code: | 932807515 |
| Phone Number: | 6617588400 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2009 |
| NPI Last Update Date: | 02/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY19327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |