MEDICARE: MRS. ARLENE KLEIN UNGER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 15383	CA

General Provider Information

NPI Number	:	1508961863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARLENE KLEIN UNGER PHD

Provider Business Mailing Address
First Line	:	34300 LANTERN BAY DR
Second Line	:	#29
City	:	DANA POINT
State	:	CA
Zip	:	92629-2874
Country	:	US
Telephone Number	:	949-240-7302
Fax Number	:	949-218-7609

Provider Business Practice Location Address
First Line	:	34231 CAMINO CAPISTRANO
Second Line	:	#213
City	:	DANA POINT
State	:	CA
Zip	:	92624-1156
Country	:	US
Telephone Number	:	949-240-7302
Fax Number	:	949-218-7609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/08/2007

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