Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 20042108 | IN |
NPI | 1033264577 |
---|---|
Provider Name | Ru-Chi Yang |
First Address | Terre Haute, IN 47804-2744 |
Second Address | Terre Haute, IN 47804-4072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |