Provider Demographics
NPI:1265037907
Name:SHUEH, TONG-AN (PHD)
Entity type:Individual
Prefix:DR
First Name:TONG-AN
Middle Name:
Last Name:SHUEH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:FRED
Other - Middle Name:
Other - Last Name:SHUEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:9008 TRAILRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2048
Mailing Address - Country:US
Mailing Address - Phone:352-577-5277
Mailing Address - Fax:
Practice Address - Street 1:9008 TRAILRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2048
Practice Address - Country:US
Practice Address - Phone:352-577-5277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32950103TP2701X, 103TC1900X, 103T00000X
OHP.7398103TP2701X, 103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling