Soo Jeong Youn LLC
Psychologist, Clinical in Waban, Massachusetts
1497323307- Practice location
- 103 Beethoven Ave, Waban, MA 02468-1731
- Phone
- 617-286-4087
- Fax
- —
- Last updated
- June 16, 2021
Soo Jeong Youn LLC is a healthcare organization based in Waban, MA. Soo Jeong Youn LLC practices in Waban, MA. The NPI Number for Soo Jeong Youn LLC is 1497323307. The current practice location address for Soo Jeong Youn LLC is 103 Beethoven Ave, Waban, MA 02468-1731 and can be reached out via phone at 617-286-4087.
Provider Profile Details
- NPI Number
- 1497323307
- Provider Name
- Soo Jeong Youn LLC
- Provider Entity Type
- Organization
- Address
- 103 Beethoven Ave, Waban, MA 02468-1731
- Phone Number
- 617-286-4087
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Soo Jeong Youn, PHD · Ceo · 617-286-4087
- Provider Enumeration Date
- June 16, 2021
- Last Update Date
- June 16, 2021
- Certification Date
- June 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Beethoven Ave
Waban, MA 02468-1731 - City
- Waban
- State
- Massachusetts
- Zip
- 02468-1731
- Phone Number
- 617-286-4087
Provider Business Mailing Address Details
- Address
- 103 Beethoven Ave
Waban, MA 02468-1731 - City
- Waban
- State
- MA
- Zip
- 02468-1731
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Soo Jeong Youn LLC?
The NPI number of Soo Jeong Youn LLC is 1497323307. It was assigned on June 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Soo Jeong Youn LLC?
Soo Jeong Youn LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Soo Jeong Youn LLC practice?
The practice location is 103 Beethoven Ave, Waban, MA 02468-1731. The office can be reached at 617-286-4087 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497323307 directly on the NPPES registry website.