Provider Demographics
NPI:1932313962
Name:HUANG, DAVID SHIHYAO (MA LLP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SHIHYAO
Last Name:HUANG
Suffix:
Gender:M
Credentials:MA LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E BIG BEAVER RD STE A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1432
Mailing Address - Country:US
Mailing Address - Phone:248-910-2626
Mailing Address - Fax:248-649-6780
Practice Address - Street 1:650 E BIG BEAVER RD STE A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1432
Practice Address - Country:US
Practice Address - Phone:248-910-2626
Practice Address - Fax:248-649-6780
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2012-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012317103TC0700X
103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities