Provider Demographics
NPI:1003688342
Name:HUANG, SONGPING (PHD)
Entity Type:Individual
Prefix:MR
First Name:SONGPING
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1394 SUNSET WAY BLVD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-1881
Mailing Address - Country:US
Mailing Address - Phone:330-690-5973
Mailing Address - Fax:
Practice Address - Street 1:1394 SUNSET WAY BLVD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-1881
Practice Address - Country:US
Practice Address - Phone:330-690-5973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child