Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 4941 | MD |
Y | 102L00000X | Psychologist | 4941 | MD |
Y | 103T00000X | Psychologist | 4941 | MD |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4941 | MD |
N | 103G00000X | Clinical Psychologist | 4941 | MD |
N | 103TC0700X | Clinical Psychologist | 4941 | MD |
N | 103TC1900X | Counseling Psychologist | 4941 | MD |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4941 | MD |
N | 103TF0000X | Family Psychologist | 4941 | MD |
N | 103TH0004X | Health Psychologist | 4941 | MD |
N | 103TM1800X | Intellectual & Developmental Disabilities | 4941 | MD |
N | 103TP0814X | Psychoanalysis | 4941 | MD |
N | 103TP2701X | Group Psychotherapist | 4941 | MD |
N | 103TS0200X | School Psychologist | 4941 | MD |
NPI | 1588798607 |
---|---|
Provider Name | Dr. Jee-Young Ahn |
First Address | Tacoma, WA 98431-0001 |
Second Address | Frederick, MD 21701-4823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 17/02/2021 |