Individual
DR. KENNETH WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
180 N OAKLAND AVE, PASADENA, CA 91101-1714
(626) 304-3712
Mailing address
180 N OAKLAND AVE, PASADENA, CA 91101-1714
(626) 304-3712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27680
CA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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