Fong, Wing Man

Fong, Wing Man is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Neurology Neuropsychology, Saint Louis MO 63110-1003. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fong, Wing Man can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Neurology Neuropsychology Saint Louis MO 63110-1003
Phone: (314) 362-1408
Fax: (314) 454-7759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2017002012 Missouri
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2017002012 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-010809 Illinois

Profile Details

NPI number 1073821096
LBN Legal business name Fong, Wing Man
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Aug 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073821096 NPPES
Missouri MEDICAID 490087956

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