Individual
DR. JERROLD YEO JUN TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
PS018915
PA
103TC0700X
Clinical Psychologist
PS018915
PA
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
01/08/2013
Last updated
11/05/2025
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