Individual
INGRID WILSON HUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2220 PARKER RD, CANTONMENT, FL 32533
(858) 699-4640
Mailing address
2220 PARKER RD, CANTONMENT, FL 32533-8177
(858) 699-4640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1626
HI
171W00000X
Contractor
—
—
Other
Enumeration date
01/03/2012
Last updated
11/22/2016
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