Kimberly June Light-Allende in Fontana - Clinical
Kimberly June Light-Allende - NPI 1497872915
Kimberly June Light-Allende is a Clinical in Fontana, California. Kimberly June Light-Allende practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly June Light-Allende is 1497872915. The last update date is 2007-07-08.
Kimberly June Light-Allende's current location address is 15218 Summit Avenue #300-313, Fontana, California. You can contact this provider via phone number 9094257487 and fax number 9094637410. The mailing address for Kimberly June Light-Allende is 15218 Summit Avenue #300-313, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly June Light-Allende |
|---|---|
| Address | 15218 Summit Avenue #300-313, Fontana, California |
| Phone Number | 9094257487 |
| Fax Number | 9094637410 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1497872915 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15218 Summit Avenue #300-313 |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923360232 |
| Phone Number | 9094257487 |
| Fax Number | 9094637410 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 20476 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Kimberly June Light-Allende by the Centers for Medicare & Medicaid Services?
The Kimberly June Light-Allende has been issued the NPI (National Provider Identifier) 1497872915, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kimberly June Light-Allende is geographically located?
The Kimberly June Light-Allende is physically situated at the following location: 15218 Summit Avenue #300-313, Fontana, CA, 923360232.
What is Kimberly June Light-Allende's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly June Light-Allende is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Kimberly June Light-Allende receive the assignment of its 1497872915 from the Centers for Medicare & Medicaid Services?
The Kimberly June Light-Allende was issued its 1497872915 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information related to Kimberly June Light-Allende most recently updated or refreshed?
The details pertaining to the Kimberly June Light-Allende, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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