Individual
JUDY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 WOODHAVEN BLVD., REGO PARK, NY 11374
(917) 443-9889
Mailing address
6525 WOODHAVEN BLVD., REGO PARK, NY 11374
(917) 443-9889
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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