Provider Demographics
NPI:1902928187
Name:CHANG, HSUEH-NI (MS)
Entity Type:Individual
Prefix:
First Name:HSUEH-NI
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:46 BIRCHWOOD RD
Mailing Address - Street 2:APT# 409
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4449
Mailing Address - Country:US
Mailing Address - Phone:781-885-0805
Mailing Address - Fax:
Practice Address - Street 1:385 COURT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7304
Practice Address - Country:US
Practice Address - Phone:508-830-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist