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Individual
SAYULI S WONG
Active
Individual
SAYULI S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PSY 25264
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY 25264
CA
103TA0700X
Adult Development & Aging Psychologist
PSY 25264
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY 25264
CA
103TC0700X
Clinical Psychologist
Primary
PSY 25264
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 25264
CA
103TF0000X
Family Psychologist
PSY 25264
CA
Other
Enumeration date
12/22/2012
Last updated
03/26/2015
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