| Karen E Dymond Phd Inc | |
|
1480 S Harbor Blvd Suite 14 La Habra CA 90631-7534 | |
| (714) 447-8782 | |
| (714) 447-9386 |
| Full Name | Karen E Dymond Phd Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1480 S Harbor Blvd, La Habra, California |
| Authorized Official Name and Position | Wayne Philip Lenz (CFO) |
| Authorized Official Contact | 7144478782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen E Dymond Phd Inc 1480 South Harbor Blvd Suite 14 La Habra CA 90631-7534 Ph: (714) 447-8782 | Karen E Dymond Phd Inc 1480 S Harbor Blvd Suite 14 La Habra CA 90631-7534 Ph: (714) 447-8782 |
| NPI Number | 1952525602 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 01/30/2018 |
| Medicare PECOS PAC ID | 7810891942 |
|---|---|
| Medicare Enrollment ID | O20031120000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952525602 | NPI | - | NPPES |
| W16671 | Other | CA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Karen E Dymond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750312492 PECOS PAC ID: 1456255587 Enrollment ID: I20031201000741 |
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