IndividualActive
Ahyoung Tae, PSYD
NPI 1437930229 · Clinical Psychologist · Philadelphia, PA
Provider details
- NPI number
- 1437930229
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS020426 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1315 Wolf St Unit 2
Philadelphia, PA 19148-2911
Phone: (410) 921-0048
Approximate (ZIP-level) locationGet directions
Mailing address
1315 Wolf St Unit 2
Philadelphia, PA 19148-2911
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.