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ELLEN MARIE KWON PSYD INC A PSYCH CORP NPI 1831648567


NPI Information

NPI: 1831648567
Provider Name: ELLEN MARIE KWON, PSYD, INC, A PSYCH CORP

Former Legal Business Name: ELLEN MILLER KWON, PSYD

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
65 N MADISON AVE STE 405
PASADENA, CA
ZIP 91101
Phone: (626) 807-5451
Get Directions

ELLEN MARIE KWON, PSYD, INC, A PSYCH CORP is a clinical psychologist in Pasadena, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ELLEN MARIE KWON, PSYD, INC, A PSYCH CORP NPI is 1831648567. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ellen Miller Kwon, Psyd.

The provider's business location address is:

65 N MADISON AVE STE 405
PASADENA, CA
ZIP 91101-049
Phone: (626) 807-5451
Fax: (626) 395-7751

The provider's authorized official is Ellen Maria Kwon .
The authorized official title is President and has the following contact phone number (626) 807-5451.

The enumeration date for this NPI number is 9/22/2016 and was last updated on 9/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical24302CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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