Provider Demographics
NPI:1912597188
Name:YUN-JU CHENG, PH.D. PSYCHOLOGIST, P.C.
Entity Type:Organization
Organization Name:YUN-JU CHENG, PH.D. PSYCHOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:YUN-JU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:307-921-0003
Mailing Address - Street 1:PO BOX 1105
Mailing Address - Street 2:
Mailing Address - City:THERMOPOLIS
Mailing Address - State:WY
Mailing Address - Zip Code:82443-1105
Mailing Address - Country:US
Mailing Address - Phone:307-921-0003
Mailing Address - Fax:
Practice Address - Street 1:1020 OWL CREEK RD
Practice Address - Street 2:
Practice Address - City:THERMOPOLIS
Practice Address - State:WY
Practice Address - Zip Code:82443-9110
Practice Address - Country:US
Practice Address - Phone:307-921-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty