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Jason Soong-jee Wong
Clinical Psychologist in Isla Vista, California
NPI 1194363598

Jason Soong-jee Wong is a Clinical Psychologist based in Isla Vista, CA and is specialized in Clinical. Jason Soong-jee Wong practices in Isla Vista, CA. The NPI Number for Jason Soong-jee Wong is 1194363598 and holds a License No. (California).

The current practice location address for Jason Soong-jee Wong is 948 Embarcadero Del Norte Ste 102, Isla Vista, CA and can be reached out via phone at 805-699-6668.

Location: 948 Embarcadero Del Norte Ste 102, Isla Vista, CA, 93117-5106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194363598
Provider Name
Jason Soong-jee Wong
Credential
Provider Entity Type
Individual
Gender
Male
Address
948 Embarcadero Del Norte Ste 102, Isla Vista, CA, 93117-5106
Phone Number
805-699-6668
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
948 Embarcadero Del Norte Ste 102
City
Isla Vista
State
California
Zip
93117-5106
Phone Number
805-699-6668
Fax Number
person
Provider Business Mailing Address Details
Address
948 Embarcadero Del Norte Ste 102
City
Isla Vista
State
California
Zip
93117-5106
Phone Number
805-699-6668
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
32402 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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