Provider Demographics
NPI:1083029201
Name:YONG, CHIAOTHONG (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHIAOTHONG
Middle Name:
Last Name:YONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHIAO THONG
Other - Middle Name:
Other - Last Name:YONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6790 PERIMETER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8068
Mailing Address - Country:US
Mailing Address - Phone:614-685-4614
Mailing Address - Fax:724-465-6379
Practice Address - Street 1:6790 PERIMETER DR STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8068
Practice Address - Country:US
Practice Address - Phone:614-685-4614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.07636103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist