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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

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