Individual
MRS. CHARLENE KAY KRIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1401 N TUSTIN AVENUE, SUITE 120, SANTA ANA, CA 92705
(714) 637-2319
(714) 637-1108
Mailing address
5311 SUNCREST ROAD, ANAHEIM HILLS, CA 92807-3717
(714) 637-2319
(714) 637-1108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9248127
—
CA
Enumeration date
02/26/2007
Last updated
07/08/2007
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