Individual
ALEXANDER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4744 41ST AVE SW STE 101, SEATTLE, WA 98116-4566
(206) 320-5780
(206) 320-5794
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY70063749
WA
103TC1900X
Counseling Psychologist
PY70063749
WA
103TC1900X
Counseling Psychologist
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2376519
—
WA
Enumeration date
08/10/2018
Last updated
04/23/2026
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