Organization
PAUL H WANG M DIV PH D & ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL H. WANG PH.D. (PRESIDENT)
(314) 721-7777
Entity
Organization
Contact information
Practice address
9666 OLIVE BLVD STE 510, SAINT LOUIS, MO 63132-3026
(314) 721-7777
(314) 888-2610
Mailing address
9666 OLIVE BLVD STE 510, SAINT LOUIS, MO 63132-3026
(314) 721-7777
(314) 888-2610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY R0220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498172006
—
MO
Enumeration date
09/26/2011
Last updated
08/21/2024
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