Doctor Name: | DR. DEANNA WONG |
NPI Number: | 1013171651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 23461 S Pointe Dr Ste. 220 Laguna Hills, CA - 926531547 |
Business Phone Number: | 9493301677 |
Business Fax Number: | |
Mailing Address: | 23461 S Pointe Dr, Ste. 220 LAGUNA HILLS |
State: | CA |
Postal Code: | 926531547 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 03/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |