Healthcare Provider Details
I. General information
NPI: 1316249600
Provider Name (Legal Business Name): HELEN YEE HOAGLAND PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/19/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 E COLORADO BLVD STE 425
PASADENA CA
91105-3729
US
IV. Provider business mailing address
117 E COLORADO BLVD STE 425
PASADENA CA
91105-3729
US
V. Phone/Fax
- Phone: 626-403-0820
- Fax:
- Phone: 626-403-0820
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY15393 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: