Sophia Lin Harrison-wong, is a
Student In An Organized Health Care Education/training Program based in Stockton, California. Sophia Lin Harrison-wong is licensed to practice in * (Not Available) (license number ) and her current practice location is
1811 Grand Canal Blvd Ste 2, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(774) 182-9788.
NPI number for Sophia Lin Harrison-wong is 1528521820 and her current mailing address is 350 Fairway Dr Ste 101, Deerfield Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528521820.
Healthcare Provider's Profile
| Full Name | Sophia Lin Harrison-wong |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1811 Grand Canal Blvd Ste 2, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528521820
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 09/15/2023
Medical Identifiers
Medical identifiers for Sophia Lin Harrison-wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528521820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Lin Harrison-wong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sophia Lin Harrison-wong,
350 Fairway Dr Ste 101,
Deerfield Beach, FL 33441-1834
Ph: (877) 418-2978 | Sophia Lin Harrison-wong,
1811 Grand Canal Blvd Ste 2,
Stockton, CA 95207-8107
Ph: (774) 182-9788 |
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