Individual
DR. MELLISSA TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
508 DEEP EDDY AVE, AUSTIN, TX 78703-4555
(512) 956-6463
Mailing address
508 DEEP EDDY AVE, AUSTIN, TX 78703-4555
(512) 956-6463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.PY.60876120
WA
Other
Enumeration date
07/01/2020
Last updated
03/26/2021
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