Provider Demographics
NPI:1780771253
Name:KUECHLE, RALPH GUNTHER (PHD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:GUNTHER
Last Name:KUECHLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 E TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-4028
Mailing Address - Country:US
Mailing Address - Phone:714-345-3449
Mailing Address - Fax:
Practice Address - Street 1:3611 S HARBOR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6928
Practice Address - Country:US
Practice Address - Phone:714-955-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical