Basic Information
| Provider Information | |||||||||
| NPI: | 1205392628 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YIP | ||||||||
| FirstName: | MANG | ||||||||
| MiddleName: | HIN | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 SALINA RD | ||||||||
| Address2: | |||||||||
| City: | SEWELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080804111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565666034 | ||||||||
| FaxNumber: | 8565666208 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 SALINA RD | ||||||||
| Address2: | |||||||||
| City: | SEWELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080804111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565666034 | ||||||||
| FaxNumber: | 8565666208 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2019 | ||||||||
| LastUpdateDate: | 01/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 37LC00286300 | NJ | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 1041C0700X | 44SC05681400 | NJ | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.