Provider Demographics
NPI:1134673940
Name:YUEN, DEVIN
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:YUEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2752 WOODLAWN DR STE 5-214
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1855
Mailing Address - Country:US
Mailing Address - Phone:808-830-7610
Mailing Address - Fax:
Practice Address - Street 1:2752 WOODLAWN DR STE 5-214
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1855
Practice Address - Country:US
Practice Address - Phone:808-830-7610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2024-07-06
Deactivation Date:2020-11-18
Deactivation Code:
Reactivation Date:2024-07-05
Provider Licenses
StateLicense IDTaxonomies
HI2154103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical