Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY22758 | CA |
Y | 103T00000X | Psychologist | PSY22758 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY22758 | CA |
NPI | 1174989693 |
---|---|
Provider Name | Dr. Janie Hong |
First Address | Oakland, CA 94618-1585 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2016 |
Last Update Date | 16/07/2020 |