Provider Demographics
NPI:1053756908
Name:TSAI, SHOUH-RONG VIVIAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHOUH-RONG
Middle Name:VIVIAN
Last Name:TSAI
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 BUCKEYSTOWN PIKE STE 440
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8319
Mailing Address - Country:US
Mailing Address - Phone:240-651-3890
Mailing Address - Fax:240-815-6015
Practice Address - Street 1:5301 BUCKEYSTOWN PIKE STE 440
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8319
Practice Address - Country:US
Practice Address - Phone:240-651-3890
Practice Address - Fax:240-815-6015
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05117103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical