Provider Demographics
NPI:1205257706
Name:SUNG, HELEN YONG (PHD, LEP)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:YONG
Last Name:SUNG
Suffix:
Gender:F
Credentials:PHD, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 COLEMAN AVE STE G26
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4360
Mailing Address - Country:US
Mailing Address - Phone:650-575-5032
Mailing Address - Fax:
Practice Address - Street 1:1400 COLEMAN AVE STE G26
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4360
Practice Address - Country:US
Practice Address - Phone:650-575-5032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP#2447103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool