Individual
KAYLA LELANI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6576 160TH ST APT 1K, FRESH MEADOWS, NY 11365-2503
(929) 498-1318
Mailing address
6576 160TH ST APT 1K, FRESH MEADOWS, NY 11365-2503
(929) 498-1318
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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