| Ju-ping Huang Phd Lp | |
|
2665 4th Ave N Ste 21 Anoka MN 55303-6629 | |
| (763) 200-4175 | |
| Not Available |
| Full Name | Ju-ping Huang Phd Lp |
|---|---|
| Speciality | Psychologist |
| Location | 2665 4th Ave N Ste 21, Anoka, Minnesota |
| Authorized Official Name and Position | Ju-ping Huang (OWNER) |
| Authorized Official Contact | 7632004175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ju-ping Huang Phd Lp 3673 Lexington Ave N Suite H-2, #252 Arden Hills MN 55126 Ph: (763) 200-4175 | Ju-ping Huang Phd Lp 2665 4th Ave N Ste 21 Anoka MN 55303-6629 Ph: (763) 200-4175 |
| NPI Number | 1679210280 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Medicare PECOS PAC ID | 7911381470 |
|---|---|
| Medicare Enrollment ID | O20220831003809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679210280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ju-ping Huang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477984433 PECOS PAC ID: 6507110400 Enrollment ID: I20181113000584 |
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