Basic Information
| Provider Information | |||||||||
| NPI: | 1588798607 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHN | ||||||||
| FirstName: | JEE-YOUNG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2539682252 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10 N JEFFERSON ST STE 403 | ||||||||
| Address2: | |||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217014823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016208700 | ||||||||
| FaxNumber: | 3013208710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2007 | ||||||||
| LastUpdateDate: | 02/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 4941 | MD | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 103TB0200X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | 103TC0700X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC1900X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Counseling | 103TC2200X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | 103TF0000X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Family | 103TH0004X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Health | 103TM1800X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Mental Retardation & Developmental Disabilities | 103TP0814X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis | 103TP2701X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | 103TS0200X | 4941 | MD | N | Behavioral Health & Social Service Providers | Psychologist | School | 106H00000X | 4941 | MD | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 103T00000X | 4941 | MD | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.