| Patricia Wong Phd Llc | |
| 
					16 Billings St Sharon MA 02067-2120  | |
| (781) 739-2810 | |
| Not Available | 
| Full Name | Patricia Wong Phd Llc | 
|---|---|
| Speciality | Psychologist | 
| Location | 16 Billings St, Sharon, Massachusetts | 
| Authorized Official Name and Position | Patricia Wong (OWNER/CLINICAL PSYCHOLOGIST) | 
| Authorized Official Contact | 6176102933 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patricia Wong Phd Llc 84 Billings St Sharon MA 02067-2142 Ph: (617) 610-2933  | Patricia Wong Phd Llc 16 Billings St Sharon MA 02067-2120 Ph: (781) 739-2810  | 
| NPI Number | 1407651953 | 
|---|---|
| Provider Enumeration Date | 02/18/2025 | 
| Last Update Date | 02/18/2025 | 
| Certification Date | 02/18/2025 | 
| Medicare PECOS PAC ID | 3870018492 | 
|---|---|
| Medicare Enrollment ID | O20250416001842 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407651953 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Patricia Wong | 
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently | 
| Provider Identifiers | NPI Number: 1043931686 PECOS PAC ID: 6406222157 Enrollment ID: I20250416002019  | 
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