Provider Demographics
NPI:1336200641
Name:YANG, THAI (CMHSII)
Entity Type:Individual
Prefix:
First Name:THAI
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:CMHSII
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMHSII
Mailing Address - Street 1:714 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-1106
Mailing Address - Country:US
Mailing Address - Phone:559-455-2046
Mailing Address - Fax:559-455-2041
Practice Address - Street 1:714 N 5TH ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-1106
Practice Address - Country:US
Practice Address - Phone:559-455-2046
Practice Address - Fax:559-455-2041
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health