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Individual

DR. BRENDA JUNE WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
55 MERCHANT ST, 22ND FLOOR, HONOLULU, HI 96813-4306
(808) 535-7700
(808) 535-7722
Mailing address
115 S KUAKINI ST, HONOLULU, HI 96813-1604
(808) 535-7718
(808) 535-7722

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
353
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02407801
HI
05
02407802
HI
01
02678-5
QUEST PRV PRACTICE
HI
01
D20158-4
QUEST CLINIC
HI
Enumeration date
02/07/2007
Last updated
07/09/2007
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