Provider Demographics
NPI:1114542321
Name:YEE, HONG (PHD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:YEE
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 1:1220 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-1905
Mailing Address - Country:US
Mailing Address - Phone:408-464-7492
Mailing Address - Fax:
Practice Address - Street 1:1220 BAYWOOD DR
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-1905
Practice Address - Country:US
Practice Address - Phone:408-464-7492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3593103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3593OtherLICENSED EDUCATIONAL PSYCHOLOGIST