Provider Demographics
NPI:1164147286
Name:WONG, ROBBIE ELIZABETH (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBBIE
Middle Name:ELIZABETH
Last Name:WONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2455 DUNSTAN RD APT 477
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2316
Mailing Address - Country:US
Mailing Address - Phone:602-702-7054
Mailing Address - Fax:
Practice Address - Street 1:2455 DUNSTAN RD APT 477
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2316
Practice Address - Country:US
Practice Address - Phone:602-702-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist