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Organization

AHYOUNG TAE, PSYD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHYOUNG TAE PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(267) 688-2225
Entity
Organization

Contact information

Practice address
1315 WOLF ST UNIT 2, PHILADELPHIA, PA 19148-2911
(267) 688-2225
Mailing address
1315 WOLF ST UNIT 2, PHILADELPHIA, PA 19148-2911
(267) 688-2225

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/28/2025
Last updated
06/28/2025
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