Provider Demographics
NPI:1447528633
Name:TONG, DEBRA YING FAH (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:YING FAH
Last Name:TONG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 CLAYTON RD STE 126
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2552
Mailing Address - Country:US
Mailing Address - Phone:925-609-8448
Mailing Address - Fax:925-609-7222
Practice Address - Street 1:1868 CLAYTON RD STE 126
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2552
Practice Address - Country:US
Practice Address - Phone:925-609-8448
Practice Address - Fax:925-609-7222
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9358103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical