Provider Demographics
NPI:1225645096
Name:KLING, IAMEE RENAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:IAMEE
Middle Name:RENAE
Last Name:KLING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 CAMELBACK STREET PO BOX 11988
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-5048
Mailing Address - Country:US
Mailing Address - Phone:562-270-4950
Mailing Address - Fax:
Practice Address - Street 1:220 NEWPORT CENTER DR STE 1
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7507
Practice Address - Country:US
Practice Address - Phone:562-270-4950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-25
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY32728103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist