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Individual

DR. LORRAINE WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
830 MENLO AVE STE 200C, MENLO PARK, CA 94025-4734
(650) 382-2064
Mailing address
492 GILBERT AVENUE, MENLO PARK, CA 94025
(540) 382-2064

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27739
CA
103TC0700X
Clinical Psychologist
PSY27739
CA

Other

Enumeration date
02/12/2016
Last updated
10/12/2022
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