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Individual

DR. CA-LIE CHENG-WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2535 CAMINO DEL RIO SOUTH, SUITE 106, SAN DIEGO, CA 92108
(619) 365-5216
Mailing address
2535 CAMINO DEL RIO SOUTH, SUITE 106, SAN DIEGO, CA 92108
(619) 365-5216
(937) 734-4343

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32645
CA
390200000X
Student in an Organized Health Care Education/Training Program
123456
CA

Other

Enumeration date
04/10/2015
Last updated
07/23/2021
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