Individual
AHYOUNG TAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1315 WOLF ST UNIT 2, PHILADELPHIA, PA 19148-2911
(410) 921-0048
Mailing address
1315 WOLF ST UNIT 2, PHILADELPHIA, PA 19148-2911
(410) 921-0048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS020426
PA
Other
Enumeration date
10/09/2023
Last updated
07/31/2025
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