Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PY60217040 | WA |
NPI | 1215220702 |
---|---|
Provider Name | Dr. Anthony Daniel Hwang |
First Address | Bremerton, WA 98312-1894 |
Second Address | Bremerton, WA 98312-1894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2011 |
Last Update Date | 30/06/2015 |