Individual
ALBERT WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 H STREET, SUITE 203, SAN RAFAEL, CA 94901
(415) 545-8899
(415) 545-8899
Mailing address
1 H STREET, SUITE 203, SAN RAFAEL, CA 94901
(415) 545-8899
(415) 545-8899
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27690
CA
Other
Enumeration date
08/05/2011
Last updated
12/31/2015
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