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NPI Code Detail

MEDICARE: DR. ANNA HAN HUNG PH.D.

MEDICARE:  DR. ANNA HAN HUNG  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY30416CA
2103TC0700XClinical PsychologistPY12024FL

General Provider Information

NPI Number : 1659813681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA HAN HUNG PH.D.
Provider Business Mailing Address
First Line : 6538 FLYCATCHER LN
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-8268
Country : US
Telephone Number : 408-605-4182
Fax Number :
Provider Business Practice Location Address
First Line : 3333 CLARK RD STE 110
Second Line :
City : SARASOTA
State : FL
Zip : 34231-8437
Country : US
Telephone Number : 408-883-9477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2016
Last Update Date : 03/12/2024

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Directions to “ DR. ANNA HAN HUNG PH.D.” Practice Location

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