Provider Demographics
NPI:1588913495
Name:WANG, JINHUI (PSYD)
Entity type:Individual
Prefix:DR
First Name:JINHUI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALICE
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2061 MILLROW LOOP
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8240
Mailing Address - Country:US
Mailing Address - Phone:614-526-4647
Mailing Address - Fax:
Practice Address - Street 1:598 OFFICE PKWY
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8053
Practice Address - Country:US
Practice Address - Phone:614-448-3398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6853103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical