Organization
CITY OF THE HEART PSYCHOLOGICAL SERVICE, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOLFGANG ANGELUS KLEBEL PHD (CEO)
(951) 928-6326
Entity
Organization
Contact information
Practice address
1550 CHESHIRE DR, PERRIS, CA 92571-3726
(951) 623-9358
Mailing address
41580 AVENIDA BARCA, TEMECULA, CA 92591-1561
(951) 623-9358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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