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Individual
DR. YONG S SONG
Active
Individual
DR. YONG S SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY16860
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY16860
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY16860
CA
103TC0700X
Clinical Psychologist
Primary
PSY16860
CA
103TP2701X
Group Psychotherapy Psychologist
PSY16860
CA
Other
Enumeration date
07/27/2006
Last updated
07/22/2010
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