| Organization Name: | DR KLEIN PSYCHOLOGICAL SERVICES, INC |
| NPI Number: | 1154767515 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCAS ADAM KLEIN (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Mailing Address: | 731 S Highway 101 Suite 1-e Solana Beach |
| State: | CA US |
| Postal Code: | 920752629 |
| Phone Number: | 6192440336 |
| Fax Number: | 8589258035 |
| NPI Enumeration Date: | 05/13/2013 |
| NPI Last Update Date: | 08/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |