Wong, Matthew

Wong, Matthew is an sole proprietor health care provider with primary practice located at 870 Emerald Bay Rd # 303 Box #3, South Lake Tahoe CA 96150-9403. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Wong, Matthew can be contacted via phone (415) 806-0275.

Contact Information

Primary practice address
870 Emerald Bay Rd # 303 Box #3 South Lake Tahoe CA 96150-9403
Phone: (415) 806-0275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 26365 California

Profile Details

NPI number 1033343017
LBN Legal business name Wong, Matthew
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2009
Last updated Nov 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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