Individual
KUO-YI CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1830 S ALMA SCHOOL RD, MESA, AZ 85210-3056
(480) 730-6222
(480) 889-5566
Mailing address
1830 S ALMA SCHOOL RD, MESA, AZ 85210-3056
(480) 730-6222
(480) 889-5566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8850
NE
101YM0800X
Mental Health Counselor
8850
NE
103T00000X
Psychologist
Primary
4180
AZ
103TA0700X
Adult Development & Aging Psychologist
4180
AZ
103TC0700X
Clinical Psychologist
4180
AZ
103TC1900X
Counseling Psychologist
4180
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
4180
AZ
103TF0000X
Family Psychologist
4180
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470798717-26,27-,29
—
NE
01
—
96097
BCBS OF NEBRASKA
NE
Enumeration date
05/04/2009
Last updated
06/27/2011
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