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Contact Information

CLARENCE M LEUNG, PHD
415 W ROUTE 66
SUITE 202
GLENDORA, CA91740-4335
 Phone: 626-963-4467
 Fax: 626-963-9543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLARENCE M LEUNG · (Male)

NPI # 1134273543
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/22/2007
Last updated 10/04/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY 20904
  • CA Medicaid PSY209040
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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