Individual provider · Type 1 NPI

Sunny Y. Im-Wang, M.A.

Psychologist · San Rafael, CA

NPI number 1811071194 Active

Practice location

161 Mitchell Blvd, Suite 101
San Rafael, CA 94903-2068

Fax (415) 499-3080

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1811071194

Sunny Y. Im-Wang, M.A.'s National Provider Identifier is 1811071194, issued on Oct 24, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.