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
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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FAQs about Kimberly June Light-Allende

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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