Provider Demographics
NPI:1164531307
Name:CHANG, HUNG HSIU (PHD)
Entity Type:Individual
Prefix:DR
First Name:HUNG HSIU
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:PROF
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1436 HARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2704
Mailing Address - Country:US
Mailing Address - Phone:972-509-8917
Mailing Address - Fax:972-509-8917
Practice Address - Street 1:1436 HARRINGTON DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2704
Practice Address - Country:US
Practice Address - Phone:972-509-8917
Practice Address - Fax:972-509-8917
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004805-031315106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist