Individual
DEBORAH A WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6465 REFLECTIONS DR, SUITE 110, DUBLIN, OH 43017-2355
(614) 792-1108
(614) 792-0018
Mailing address
374 BROOKWOOD DR, TROY, OH 45373-4531
(937) 335-7876
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0648599
—
OH
Enumeration date
08/13/2006
Last updated
07/08/2007
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