Dr. Rebecca L Wong, Ph.D.
Psychologist in West Lafayette, IN. Individual provider (NPI-1).
NPI number1114354529
StatusActive
Last updated in NPPESSep 30, 2013
Details
- NPI
- 1114354529
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rebecca L Wong
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2013
- Last updated
- Sep 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 20040228A | IN | Yes |
Practice location
703 3rd StRoom 1120
West Lafayette, IN 47907-2081
Phone 765-494-6995 · Fax 765-496-3004
Mailing address
703 3rd StRoom 1120
West Lafayette, IN 47907-2081
Phone 765-494-6995 · Fax 765-496-3004
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