Provider Demographics
NPI:1649822941
Name:HER-XIONG, YOUHUNG (PHD,LICSW,LCSW,APSW)
Entity type:Individual
Prefix:
First Name:YOUHUNG
Middle Name:
Last Name:HER-XIONG
Suffix:
Gender:
Credentials:PHD,LICSW,LCSW,APSW
Other - Prefix:
Other - First Name:YOU
Other - Middle Name:HANG
Other - Last Name:HER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2519 N HILLCREST PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-2588
Mailing Address - Country:US
Mailing Address - Phone:715-204-4207
Mailing Address - Fax:
Practice Address - Street 1:2519 N HILLCREST PKWY STE 103
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-2588
Practice Address - Country:US
Practice Address - Phone:715-204-4207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI128862-121104100000X
MN304311041C0700X
WI11457-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker