Individual
MS. KAYLA A QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 S COAST DR STE 225, COSTA MESA, CA 92626-7757
(949) 743-1457
Mailing address
57 REMINGTON LN, ALISO VIEJO, CA 92656-8053
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
04/20/2026
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