Michelle Hong
Clinical Child & Adolescent Psychologist
2195 Club Center Dr
San Bernardino
, California 92408-4170
Michelle Hong
Clinical Child & Adolescent Psychologist
2195 Club Center Dr
San Bernardino
, California 92408-4170
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Michelle Hong
- File Number 54701
- Los Angeles, CA
- Zip : 90074-4701
- Phone :
Second Address
- Michelle Hong
- 2195 Club Center Dr
- San Bernardino, CA
- Zip : 92408-4170
- Phone : (909) 558-2617
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY30562 | CA |
National Provider Identifier
| NPI | 1134538564 |
|---|---|
| Provider Name | Michelle Hong |
| First Address | Los Angeles, CA 90074-4701 |
| Second Address | San Bernardino, CA 92408-4170 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2014 |
| Last Update Date | 28/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.