Clarence M Leung is a Clinical in Glendora, California. Clarence M Leung practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clarence M Leung is 1134273543. The last update date is 2007-10-04.
Clarence M Leung's current location address is 415 W Route 66, Glendora, California. You can contact this provider via phone number 6269634467 and fax number 6269639543. The mailing address for Clarence M Leung is 415 W Route 66, Glendora, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence M Leung |
|---|---|
| Address | 415 W Route 66, Glendora, California |
| Phone Number | 6269634467 |
| Fax Number | 6269639543 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1134273543 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 415 W Route 66 |
|---|---|
| City | Glendora |
| State | California (CA) |
| Post Code | 917404335 |
| Phone Number | 6269634467 |
| Fax Number | 6269639543 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 20904 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY209040 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clarence M Leung by the Centers for Medicare & Medicaid Services?
The Clarence M Leung has been assigned the NPI (National Provider Identifier) 1134273543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Clarence M Leung is physically located?
The Clarence M Leung is physically situated at the following address: 415 W Route 66, Glendora, CA, 917404335.
What is Clarence M Leung's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clarence M Leung's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Clarence M Leung receive its 1134273543 assignment from the Centers for Medicare & Medicaid Services?
The Clarence M Leung was assigned its 1134273543 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Clarence M Leung last refreshed?
The information related to the Clarence M Leung, including its address, specialty, and other relevant details, was last updated on 2007-10-04.