Individual
DR. JYH-HANN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
75 KAUTZ RD, STROUDSBURG, PA 18360-8931
(570) 420-1348
Mailing address
75 KAUTZ ROAD, STROUDSBURG, PA 18360
(570) 420-1348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016121
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568536480
GOOD SHEPHERD GROUP NPI
PA
05
—
2107599
—
OH
01
—
250292000
MAGELLAN
OH
Enumeration date
03/13/2007
Last updated
08/26/2008
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