Individual
SHAUNE-RU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
(408) 975-2764
Mailing address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
(408) 975-2764
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
36412
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2021
Last updated
12/16/2025
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