Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 103G00000X | Clinical Psychologist | PY60557400 | WA |
Y | 103TC0700X | Clinical Psychologist | PY60557400 | WA |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TH0100X | Health Service | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1780001388 |
---|---|
Provider Name | Sharon Hsin Hsu |
First Address | Puyallup, WA 98372-3715 |
Second Address | Puyallup, WA 98372-3715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2014 |
Last Update Date | 13/06/2016 |