Individual
ALISA T. WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8841 WILLIAMSON DR STE 40, ELK GROVE, CA 95624-1800
(916) 245-1276
(916) 685-4213
Mailing address
8841 WILLIAMSON DR STE 40, ELK GROVE, CA 95624-1800
(916) 245-1276
(916) 685-4213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12792
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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