Organization
DR KLEIN PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS ADAM KLEIN PH.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(619) 244-0336
Entity
Organization
Contact information
Practice address
731 S HIGHWAY 101, SUITE 1-E, SOLANA BEACH, CA 92075-2629
(619) 244-0336
(858) 925-8035
Mailing address
731 S HIGHWAY 101, SUITE 1-E, SOLANA BEACH, CA 92075-2628
(619) 244-0336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003257
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003257
CT PSYCHOLOGY LICENSE
CT
01
—
019804
NY PSYCHOLOGY LICENSE
NY
01
—
25861
CA PSYCHOLOGY LICENSE
CA
Enumeration date
05/13/2013
Last updated
08/06/2013
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