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Contact Information

KIMBERLY J LIGHT ALLENDE, PSY.D.
15218 SUMMIT AVE # 300-313
FONTANA, CA92336-0232
 Phone: 909-425-7487
 Fax: 909-463-7410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KIMBERLY J LIGHT ALLENDE · (Female)

NPI Number 1497872915
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 03/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY 20476
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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