Individual
NAITIAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
UNIVERSITY COUNSELING CTR, STADIUM ROAD, STONY BROOK, NY 11794-3100
(631) 632-4190
Mailing address
3 HASTINGS DR, STONY BROOK, NY 11790-2312
(315) 278-4973
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016454
NY
Other
Enumeration date
05/23/2007
Last updated
06/30/2009
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