Healthcare Provider Details

I. General information

NPI: 1730420415
Provider Name (Legal Business Name): EDWIN CHUNG HUH PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 02/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD PITTSBURGH VAHS, HEINZ CAMPUS, BUILDING 50, C&P OFFICE
PITTSBURGH PA
15215
US

IV. Provider business mailing address

1010 DELAFIELD RD PITTSBURGH VAHS, HEINZ CAMPUS, BUILDING 50, C&P OFFICE
PITTSBURGH PA
15215
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-3016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number020578
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: