Individual
DR. SOPHEAR MUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
PO BOX 588500, ELK GROVE, CA 95758-8500
(831) 678-5500
Mailing address
PO BOX 588500, ELK GROVE, CA 95758-8500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY25066
CA
103TF0200X
Forensic Psychologist
Primary
PSY25066
CA
Other
Enumeration date
05/17/2007
Last updated
01/08/2025
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