Provider Demographics
NPI:1568671238
Name:HUANG, MICHELLE ANN (PSYD, NCC, LPC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANN
Last Name:HUANG
Suffix:
Gender:F
Credentials:PSYD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1377 HIGHLAND AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7704
Mailing Address - Country:US
Mailing Address - Phone:717-398-8042
Mailing Address - Fax:
Practice Address - Street 1:1377 HIGHLAND AVENUE RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7704
Practice Address - Country:US
Practice Address - Phone:717-398-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003379101YP2500X
PAPS017651103TC0700X
TX14971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
88862OtherNATIONAL BOARD OF CERTIFIED COUNSELORS
PA86-1111887OtherEMPLOYER ID NUMBER
88862OtherNATIONAL CERTIFIED COUNSE