| NPI | 1861184681 |
|---|---|
| Professional Name | JASON SONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SP00762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 406923) |
| 363L00000X Nurse Practitioner (Licence: CA 95034932) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61650187) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-11-05 |