Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 071007784 | IL |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 28546 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY-1310 | HI |
NPI | 1063605541 |
---|---|
Provider Name | Dr. Austin Yang |
First Address | San Francisco, CA 94121-0452 |
Second Address | San Francisco, CA 94110-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 22/02/2021 |