Provider Demographics
NPI:1427437839
Name:ONG, AMBER (PHD, LCP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:ONG
Suffix:
Gender:F
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:ERHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 N WAYNE ST APT 206
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1855
Mailing Address - Country:US
Mailing Address - Phone:215-680-9285
Mailing Address - Fax:
Practice Address - Street 1:701 N WAYNE ST APT 206
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-1855
Practice Address - Country:US
Practice Address - Phone:215-680-9285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005090103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist