Organization
CITY OF THE HEART PSYCHOLOGICAL SERVICE, A PROFESSIONAL CORPORATION
Active
Other names
City of the Heart Psychological Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
WOLFGANG ANGELUS KLEBEL PHD (CEO)
(951) 928-6326
Entity
Organization
Contact information
Practice address
623 E LATHAM AVE, HEMET, CA 92543-4342
(951) 928-6326
(951) 344-8353
Mailing address
41580 AVENIDA BARCA, TEMECULA, CA 92591-1561
(951) 623-9358
(951) 344-8363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY6005
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33-BEHS
—
CA
Enumeration date
11/14/2017
Last updated
04/25/2023
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