Provider Demographics
NPI:1033241088
Name:HAN, AY LING (PHD)
Entity Type:Individual
Prefix:
First Name:AY LING
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MAIN ST
Mailing Address - Street 2:SUITE 19A
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3137
Mailing Address - Country:US
Mailing Address - Phone:413-587-8999
Mailing Address - Fax:
Practice Address - Street 1:160 MAIN ST
Practice Address - Street 2:SUITE 19A
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3137
Practice Address - Country:US
Practice Address - Phone:413-587-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8648103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling