Provider Demographics
NPI:1154383552
Name:WONG, CLAUDIA LP (MAPC MAPT LMFT)
Entity type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:LP
Last Name:WONG
Suffix:
Gender:F
Credentials:MAPC MAPT LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 235858
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823
Mailing Address - Country:US
Mailing Address - Phone:808-833-5264
Mailing Address - Fax:808-833-5264
Practice Address - Street 1:91-2127 FORT WEAVER RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EVA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:808-581-0087
Practice Address - Fax:808-833-5264
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist