Individual
DR. JENNIFER DENISE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
8003 PRINCESS JEANNE AVE NE, ALBUQUERQUE, NM 87110-6019
(310) 480-9573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-2022-0101
NM
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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