Individual
DR. KENNEDY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
22 N PENNELL RD, MEDIA, PA 19063-5520
(267) 551-1984
Mailing address
816 CARPENTER ST UNIT 1F, PHILADELPHIA, PA 19147-3910
(302) 463-1978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019805
PA
Other
Enumeration date
06/04/2022
Last updated
01/25/2023
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