Healthcare Provider Details

I. General information

NPI: 1508961863
Provider Name (Legal Business Name): ARLENE KLEIN UNGER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARLENE KLEIN UNGER PHD

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34231 CAMINO CAPISTRANO #213
DANA POINT CA
92624-1156
US

IV. Provider business mailing address

34300 LANTERN BAY DR #29
DANA POINT CA
92629-2874
US

V. Phone/Fax

Practice location:
  • Phone: 949-240-7302
  • Fax: 949-218-7609
Mailing address:
  • Phone: 949-240-7302
  • Fax: 949-218-7609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 15383
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: