Whalio Doctors

NPI 1396063053

Andrew L. Wong, PHD

Practitioner Clinical Neuropsychologist West Hollywood, CA

Practice location

Address
8700 Beverly Blvd, West Hollywood, CA 90048-1804
Phone
(310) 423-3933
Fax
(310) 423-0153
Mailing address
4140 W 190th St, Torrance, CA 90504-5513

Registered specialties (5)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY30059 (CA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 30059 (CA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2943 (OR)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2943 (OR)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301016179 (MI)

Registry record

NPI
1396063053
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 May 2010
Record last updated
25 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.