Provider Demographics
NPI:1427594803
Name:HUNG, YU HSIN (LMHC)
Entity type:Individual
Prefix:
First Name:YU HSIN
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LINNAEAN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1632
Mailing Address - Country:US
Mailing Address - Phone:617-251-7885
Mailing Address - Fax:
Practice Address - Street 1:555 AMORY ST
Practice Address - Street 2:SUITE 5
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2652
Practice Address - Country:US
Practice Address - Phone:617-383-6522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10001977101YM0800X
225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health