Nicole Kang, Ph.D.
Psychologist, Clinical in Twentynine Palms, CA. Individual provider (NPI-1).
NPI number1124560552
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1124560552
- Entity type
- Individual (NPI-1)
- Name
- Nicole Kang
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2016
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0810005713 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1145 Sturgis RoadTwentynine Palms, CA 92278
Phone 760-830-2724
Mailing address
Po Box 555657Camp Pendleton, CA 92055-5657
Phone 760-689-5675
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Other Clinical Psychologist providers in Twentynine Palms, CA
- Theodore Joseph BemenderferNPI 1780308197
- Wayne Charles Boucher, PSY.D, ABPPNPI 1093794372
- Counselaid Psychological CorporationNPI 1063595262
- Nicolette LubinNPI 1457908642
- Shana Pryor, PHDNPI 1972329993
All 6 Clinical Psychologist providers in Twentynine Palms · All 355 providers in Twentynine Palms
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