YANG CHANG CUSTER MS, MPHIL, LPC
NPI 1568008530
Counselor - Professional in Philadelphia, PA
- Individual
- Female
- Counselor
- Professional
About YANG CUSTER
This page provides the complete NPI Profile along with additional information for Yang Custer, a provider established in Philadelphia, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1568008530 assigned on November 2019. The practitioner's primary taxonomy code is 101YP2500X with license number PC011968 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1568008530 Verify this NPI
- Provider Name
- YANG CHANG CUSTER MS, MPHIL, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1845 WALNUT ST STE 2323 PHILADELPHIA, PA 19103
- Location Phone
- (215) 821-4482
- Mailing Address
- 1845 WALNUT ST STE 2323 PHILADELPHIA, PA 19103
- Mailing Phone
- (215) 821-4482
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-25-2019
- Last Update Date
- 01-29-2020
- Code Navigator
Location Map
Secondary Locations
- 2713 E Albert St
Philadelphia, PA 19125
(215) 821-4482
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC011968
- License State
- PA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568008530, enumerated as an "individual" on November 25, 2019.
The provider is located at 1845 WALNUT ST STE 2323 PHILADELPHIA, PA 19103 and the phone number is (215) 821-4482.
Counselor with taxonomy code 101YP2500X and a focus in Professional.