Melissa Wong
Individual provider Active NPI School Psychologist · Mountain House, CA
NPI 1255810370 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1255810370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 1090 S Central Pkwy
Mountain House, CA 95391-1353 - Phone
- (209) 836-7460
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
1090 S Central Pkwy
Mountain House, CA 95391-1353
Mailing address
1090 S Central Pkwy
Mountain House, CA 95391-1353
Other names
- Melissa Leung
Other providers in Mountain House, CA
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- Deepa Thomas
- Hannah Lydia Tran
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- Unity Medical Equipment LLC
- Disan Flores Yap
- Syed Farhad Haider Zaidi
- Watipaso Ziba
All providers in Mountain House, CA · School Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.