Individual
LEAH ALYSSA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 723-5511
Mailing address
401 QUARRY RD, ROOM 2206, STANFORD, CA 94305-5719
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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