Individual
DR. SOPHIA J WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
76-6225 KUAKINI HWY, C-103, KAILUA KONA, HI 96740-3211
(808) 329-7176
(808) 326-1279
Mailing address
PO BOX 4938, KAILUA KONA, HI 96745-4938
(808) 329-7176
(808) 326-1279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 22403
CA
103TC0700X
Clinical Psychologist
Primary
PSY1104
HI
106H00000X
Marriage & Family Therapist
MFC35927
CA
106H00000X
Marriage & Family Therapist
MFT-56
HI
Other
Enumeration date
01/20/2007
Last updated
02/09/2017
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