Basic Information
Provider Information
NPI: 1023256823
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YEUNG
FirstName: PAUL
MiddleName: P
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 50 BEECH DR
Address2:  
City: NORRISTOWN
State: PA
PostalCode: 194035421
CountryCode: US
TelephoneNumber: 6102796100
FaxNumber: 6102790978
Practice Location
Address1: 50 BEECH DR
Address2:  
City: NORRISTOWN
State: PA
PostalCode: 194035421
CountryCode: US
TelephoneNumber: 6102796100
FaxNumber: 6102790978
Other Information
ProviderEnumerationDate: 02/02/2009
LastUpdateDate: 02/02/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XMD067965LPAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X033856CTN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804XMD067965LPAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
2084P0804X033856CTN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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