Individual
DR. CHRISTINE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
427 YALE AVE, STE 200, CLAREMONT, CA 91711-4340
(909) 833-1596
Mailing address
427 YALE AVE # 200, CLAREMONT, CA 91711-4340
(909) 833-1596
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY21007
LICENSE
CA
Enumeration date
09/28/2006
Last updated
03/17/2022
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