| NPI | 1679091938 |
|---|---|
| Other Name | CHRISTINE WONG, PSYD, A PROFESSIONAL CORP |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WONG Psychologist 909-833-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21007) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21007) |
| 251S00000X (Licence: CA psy21007) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |