Provider Demographics
NPI:1578895348
Name:CHUNG, DANIEL HYUN (PSYD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:HYUN
Last Name:CHUNG
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 HUDSON TER
Mailing Address - Street 2:APT 5B
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-7949
Mailing Address - Country:US
Mailing Address - Phone:201-370-5668
Mailing Address - Fax:
Practice Address - Street 1:2375 HUDSON TER
Practice Address - Street 2:APT 5B
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7949
Practice Address - Country:US
Practice Address - Phone:201-370-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist