MEDICARE: DR. ELIZABETH KAITLYN KWONG PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	36411	CA

General Provider Information

NPI Number	:	1427917897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH KAITLYN KWONG PSYD

Provider Business Mailing Address
First Line	:	1100 W SHAW AVE STE 112
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 W SHAW AVE STE 112
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3708
Country	:	US
Telephone Number	:	559-801-8944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

Similar Medicare Providers

1184583619 — DR. JULIA KELLEE MCCREARY PSYD
Practice Location Address:

1100 W SHAW AVE STE 112
FRESNO, CA
93711-3708

Practice Phone: 559-374-2732
Practice Fax:

1376389452 — HALEY HUDSON
Practice Location Address:

1100 W SHAW AVE STE 112
FRESNO, CA
93711-3708

Practice Phone: 559-801-8944
Practice Fax:

1386631349 — DOUGLAS R HALLORAN DDS INC
Practice Location Address:

1100 W SHAW AVE , STE 146
FRESNO, CA
93711-3708

Practice Phone: 559-224-9925
Practice Fax: 559-224-4478

1477643781 — MS. CHRISTINE LOUISE LANDIS LCSW
Practice Location Address:

1100 W SHAW AVE , SUITE 112
FRESNO, CA
93711-3708

Practice Phone: 559-221-8874
Practice Fax: 559-222-5789

1053458570 — MRS. GEORGETTE C. MILLA LMFT
Practice Location Address:

1100 W SHAW AVE , SUITE 112
FRESNO, CA
93711-3708

Practice Phone: 559-221-8874
Practice Fax: 559-222-5789

1942336409 — MS. PATTY RAE JENSEN MS, LMFT
Practice Location Address:

1100 W SHAW AVE , SUITE 112
FRESNO, CA
93711-3708

Practice Phone: 559-221-8874
Practice Fax: 559-222-5789

Directions to “ DR. ELIZABETH KAITLYN KWONG PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.