Individual
MICHELLE CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2195 CLUB CENTER DR, SAN BERNARDINO, CA 92408-4170
(909) 558-2617
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY30562
CA
Other
Enumeration date
08/11/2014
Last updated
01/23/2025
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