Provider Demographics
NPI:1831672104
Name:DR. JILL HUANG PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:DR. JILL HUANG PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:HUANG
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-253-2291
Mailing Address - Street 1:3585 MAPLE ST STE 150
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-9115
Mailing Address - Country:US
Mailing Address - Phone:805-253-2291
Mailing Address - Fax:
Practice Address - Street 1:3585 MAPLE ST STE 150
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9115
Practice Address - Country:US
Practice Address - Phone:805-253-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health