Provider Demographics
NPI:1508961863
Name:UNGER, ARLENE KLEIN (PHD)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:KLEIN
Last Name:UNGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ARLENE
Other - Middle Name:KLEIN
Other - Last Name:UNGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:34300 LANTERN BAY DR
Mailing Address - Street 2:#29
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2874
Mailing Address - Country:US
Mailing Address - Phone:949-240-7302
Mailing Address - Fax:949-218-7609
Practice Address - Street 1:34231 CAMINO CAPISTRANO
Practice Address - Street 2:#213
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92624-1156
Practice Address - Country:US
Practice Address - Phone:949-240-7302
Practice Address - Fax:949-218-7609
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 15383103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical