Individual
DR. REBECCA L WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
703 3RD ST, ROOM 1120, WEST LAFAYETTE, IN 47907-2081
(765) 494-6995
(765) 496-3004
Mailing address
703 3RD ST, ROOM 1120, WEST LAFAYETTE, IN 47907-2081
(765) 494-6995
(765) 496-3004
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040228A
IN
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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