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Organization
THE CLINEBELL INSTITUTE
Active
Organization
THE CLINEBELL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNGSIG SAMUEL LEE PH.D. (EXECUTIVE DIRECTOR OF THE CLINEBELL)
(626) 616-2478
Entity
Organization
Contact information
Practice address
1325 NORTH COLLEGE AVENUE, 3RD FLOOR BUTLER BUILDING, CLAREMONT, CA 91711-3154
(909) 451-3690
(909) 447-6351
Mailing address
1325 NORTH COLLEGE AVENUE, 3RD FLOOR BUTLER BUILDING, CLAREMONT, CA 91711-3154
(909) 451-3690
(909) 447-6351
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22920
CA
106H00000X
Marriage & Family Therapist
16926
CA
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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