Provider Demographics
NPI:1346348547
Name:HUANG, HSIN-HSIN (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:HSIN-HSIN
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 OLIVE BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5454
Mailing Address - Country:US
Mailing Address - Phone:314-249-6813
Mailing Address - Fax:314-275-2301
Practice Address - Street 1:12400 OLIVE BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-5454
Practice Address - Country:US
Practice Address - Phone:314-249-6813
Practice Address - Fax:314-275-2301
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020125851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000082203Medicare PIN