Provider Demographics
NPI:1528448941
Name:YONGHO, HENRY
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:YONGHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 DONALD ST.
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188
Mailing Address - Country:US
Mailing Address - Phone:781-901-0775
Mailing Address - Fax:
Practice Address - Street 1:79 DONALD ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3961
Practice Address - Country:US
Practice Address - Phone:781-901-0775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health