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Individual

EIRENE M. WONG-LIANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10101 SOUTHWEST FWY STE 128, HOUSTON, TX 77074-1126
(713) 981-8325
Mailing address
8 BENDWOOD DR, SUGAR LAND, TX 77478-3701
(713) 981-8325

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24919
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099545802
TX
01
10020441
AMERIGROUP
TX
Enumeration date
03/12/2007
Last updated
10/31/2023
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