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Individual
NICK XIONG
Active
Individual
NICK XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35767
CA
222Q00000X
Developmental Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/27/2014
Last updated
03/19/2025
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