Randall Lee Ahn, PHD, MLIS Valid NPI
Individual provider · Clinical Child & Adolescent Psychologist · Fontana, CA
- NPI
- 1093939399
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC2200X
- License number
- PSY13956 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-04-11
- Last updated
- 2024-05-07
Practice location
16465 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1242
(909) 244-9593