Krieg, Charlene Kay

Krieg, Charlene Kay is an individual health care provider with primary practice located at 1401 N Tustin Avenue Suite 120, Santa Ana CA 92705. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Krieg, Charlene Kay can be contacted via phone (714) 637-2319.

Contact Information

Primary practice address
1401 N Tustin Avenue Suite 120 Santa Ana CA 92705
Phone: (714) 637-2319
Fax: (714) 637-1108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY13229 California

Profile Details

NPI number 1386770857
LBN Legal business name Krieg, Charlene Kay
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386770857 NPPES
California MEDICAID 9248127

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