Provider Demographics
NPI:1679210280
Name:JU-PING HUANG PHD LP
Entity Type:Organization
Organization Name:JU-PING HUANG PHD LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JU-PING
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LP
Authorized Official - Phone:763-200-4175
Mailing Address - Street 1:3673 LEXINGTON AVE N
Mailing Address - Street 2:SUITE H-2, #252
Mailing Address - City:ARDEN HILLS
Mailing Address - State:MN
Mailing Address - Zip Code:55126
Mailing Address - Country:US
Mailing Address - Phone:763-200-4175
Mailing Address - Fax:
Practice Address - Street 1:2665 4TH AVE N STE 21
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-6629
Practice Address - Country:US
Practice Address - Phone:763-200-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty