Provider Demographics
NPI:1649785403
Name:SCHWARTZ, KIMBERLEY R ARGUE (PHD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:R ARGUE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KIMBERLEY
Other - Middle Name:
Other - Last Name:ARGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:717 ROSARITA DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1842
Mailing Address - Country:US
Mailing Address - Phone:714-553-7287
Mailing Address - Fax:
Practice Address - Street 1:250 W MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7718
Practice Address - Country:US
Practice Address - Phone:714-553-7287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17081103TC2200X, 103TM1800X, 103TP0814X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis