Individual
DR. JASON ALEXANDER CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
9000 COOMBS FARM DRIVE, SUITE 202, MORGANTOWN, WV 26508
(304) 554-0504
(304) 554-0505
Mailing address
1208 CHASE ST, MORGANTOWN, WV 26508-6840
(503) 724-6161
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1024
WV
103TC0700X
Clinical Psychologist
1024
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026905
—
WV
Enumeration date
08/08/2011
Last updated
01/22/2021
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