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General NPI Number Information
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NPI Number | 1093663668
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Entity Type | Organization
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Legal Business Name | KT PSYCHOLOGY GROUP PC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 500 N STATE COLLEGE BLVD STE 1100
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City | ORANGE
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State | CA
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Zip | 92868-1625
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Country | US
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Telephone | 949-866-3392
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Fax |
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Provider Business Mailing Address
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Address Line | 8235 ROCHESTER AVE STE 110
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0719
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Country | US
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Telephone | 949-866-3392
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRYSTIANNA NGUYEN
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Credential | PH. D.
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Telephone | 949-866-3392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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