Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY32489 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY32489 | CA |
N | 103TC1900X | Counseling Psychologist | 084778 | IA |
NPI | 1093366270 |
---|---|
Provider Name | Wen-Hsin Chang |
First Address | San Diego, CA 92103-5629 |
Second Address | San Diego, CA 92103-5629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2019 |
Last Update Date | 02/08/2021 |