| Wanda Von Kleist, Ph.d. & Associates, A Psychological Corporation | |
|
3333 W Coast Hwy Ste 500 Newport Beach CA 92663-4043 | |
| (949) 903-1481 | |
| (949) 646-6678 |
| Full Name | Wanda Von Kleist, Ph.d. & Associates, A Psychological Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3333 W Coast Hwy Ste 500, Newport Beach, California |
| Authorized Official Name and Position | Wanda Von Kleist (PRESIDENT) |
| Authorized Official Contact | 9499031481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Von Kleist, Ph.d. & Associates, A Psychological Corporation 3333 W Coast Hwy Ste 500 Newport Beach CA 92663-4043 Ph: (949) 903-1481 | Wanda Von Kleist, Ph.d. & Associates, A Psychological Corporation 3333 W Coast Hwy Ste 500 Newport Beach CA 92663-4043 Ph: (949) 903-1481 |
| NPI Number | 1336277763 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336277763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 19430 (California) | Primary |
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