| K Allen Family Therapist Inc | |
|
23961 Calle De La Magdalena Suite 424 Laguna Hills CA 92653-3616 | |
| (949) 630-0584 | |
| (949) 663-0058 |
| Full Name | K Allen Family Therapist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 23961 Calle De La Magdalena, Laguna Hills, California |
| Authorized Official Name and Position | Kanita Elizabeth Allen (PRESIDENT & CEO) |
| Authorized Official Contact | 9494217922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K Allen Family Therapist Inc 4 Collingwood Aliso Viejo CA 92656-1939 Ph: (949) 421-7922 | K Allen Family Therapist Inc 23961 Calle De La Magdalena Suite 424 Laguna Hills CA 92653-3616 Ph: (949) 630-0584 |
| NPI Number | 1720384142 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 08/11/2014 |
| Medicare PECOS PAC ID | 1951529775 |
|---|---|
| Medicare Enrollment ID | O20140822000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720384142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26567 (California) | Primary |
| Provider Name | Sally P Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073047296 PECOS PAC ID: 4082664156 Enrollment ID: I20050126000659 |
| Provider Name | Kanita E Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972826790 PECOS PAC ID: 2860610680 Enrollment ID: I20140822000592 |
| Provider Name | Susan Bedrosian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407243322 PECOS PAC ID: 6507170529 Enrollment ID: I20150805006735 |
| Provider Name | Katherine J Claxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922479815 PECOS PAC ID: 6800196270 Enrollment ID: I20151208001589 |
| Provider Name | Susana M Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265688907 PECOS PAC ID: 1355625591 Enrollment ID: I20170307000680 |
| Provider Name | Sharon J Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679833230 PECOS PAC ID: 0547546475 Enrollment ID: I20170407001388 |
| Provider Name | Denise A Harkless |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376078980 PECOS PAC ID: 9931476876 Enrollment ID: I20170525001455 |
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