Individual
DR. SHAN S. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-1297
Mailing address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006989
VA
Other
Enumeration date
07/29/2020
Last updated
10/31/2022
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