Mimi Wong, Ph.D.
Clinical Neuropsychologist in San Francisco, CA. Individual provider (NPI-1).
NPI number1285708024
StatusActive
Last updated in NPPESJun 26, 2014
Details
- NPI
- 1285708024
- Entity type
- Individual (NPI-1)
- Name
- Mimi Wong
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2006
- Last updated
- Jun 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY25379 | CA | Yes |
Practice location
870 Market StSuite 744
San Francisco, CA 94102-3099
Phone 415-857-1157
Mailing address
Po Box 5330South San Francisco, CA 94083-5330
Phone 415-857-1157
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