Provider Demographics
NPI:1467425132
Name:YEUNG, ROSA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:M
Last Name:YEUNG
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 1:956 W TOWN AND COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4714
Mailing Address - Country:US
Mailing Address - Phone:714-453-2388
Mailing Address - Fax:714-972-3075
Practice Address - Street 1:956 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4714
Practice Address - Country:US
Practice Address - Phone:714-453-2388
Practice Address - Fax:714-972-3075
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17541103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist