Individual
DR. JENNY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1700 WESTLAKE AVE N STE 200 PMB 1402, SEATTLE, WA 98109-6212
(206) 460-1667
Mailing address
17006 NE 100TH PL, REDMOND, WA 98052-3177
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60523734
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60523734
PSYCHOLOGIST LICENSE
WA
Enumeration date
10/15/2015
Last updated
12/13/2024
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