Individual
CHONG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4221 MEDICAL PKWY STE 400, CARROLLTON, TX 75010-4548
(469) 416-4882
Mailing address
3008 MILL RIDGE DR, PLANO, TX 75025-3970
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35153
TX
Other
Enumeration date
10/30/2017
Last updated
03/04/2018
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