Individual
DR. STEPHANIE NICOLE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3801 MIRANDA AVE # 116B, PALO ALTO, CA 94304-1207
(510) 676-7911
Mailing address
3801 MIRANDA AVE # 116B, PALO ALTO, CA 94304-1207
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY32223
CA
Other
Enumeration date
11/23/2020
Last updated
08/15/2022
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