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Dr. Kimberly Lisa Vander Dussen

Clinical Psychologist

101 S Kraemer Blvd Ste 236
Placentia , California 92870-6102

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Image

Dr. Kimberly Lisa Vander Dussen

Clinical Psychologist

101 S Kraemer Blvd Ste 236
Placentia , California 92870-6102

(714) 491-7215

Write a Review Save Call

Dr. Kimberly Lisa Vander Dussen

Clinical Psychologist

101 S Kraemer Blvd Ste 236
Placentia , California 92870-6102

(714) 491-7215 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist

Languages spoken

  • English

Location

101 S Kraemer Blvd Ste 236 Placentia , California 92870-6102

First Address

  • Dr. Kimberly Lisa Vander Dussen
  • 101 S Kraemer Blvd Ste 236
  • Placentia, CA
  • Zip : 92870-6102
  • Fax : (714) 491-7215
  • Phone : (714) 329-6080

Second Address

  • Dr. Kimberly Lisa Vander Dussen
  • 101 S Kraemer Blvd Ste 236
  • Placentia, CA
  • Zip : 92870-6102
  • Fax : (714) 491-7215
  • Phone : (714) 329-6080

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FAQs


Where did Dr. Kimberly Lisa Vander Dussen attend graduate school?

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Where did Dr. Kimberly Lisa Vander Dussen do her residency?

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Where did Dr. Kimberly Lisa Vander Dussen do her fellowship?

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Is Dr. Kimberly Lisa Vander Dussen board certified?

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What type of doctor is Dr. Kimberly Lisa Vander Dussen

Clinical Psychologist

In what state does Dr. Kimberly Lisa Vander Dussen practice in?

California

Where is Dr. Kimberly Lisa Vander Dussen ’s practice located?

101 S Kraemer Blvd Ste 236 , Placentia, California, 92870-6102

What is Dr. Kimberly Lisa Vander Dussen ’s gender?

Female

Is Dr. Kimberly Lisa Vander Dussen a sole practitioner?

No

Is Dr. Kimberly Lisa Vander Dussen accepting new patients?

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What languages does Dr. Kimberly Lisa Vander Dussen speak?

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Does Dr. Kimberly Lisa Vander Dussen accept insurance?

Yes, Dr. Kimberly Lisa Vander Dussen accepts insurance

Does Dr. Kimberly Lisa Vander Dussen offers telemedicine?

Dr. Kimberly Lisa Vander Dussen has not indicated if she offers telemedicine

What is Dr. Kimberly Lisa Vander Dussen ’s professional license number?

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What is Dr. Kimberly Lisa Vander Dussen ’s NPI number?

1003968066

Does Dr. Kimberly Lisa Vander Dussen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist PSY17209 CA
Y 103TC0700X Clinical Psychologist PSY17209 CA

National Provider Identifier

NPI 1003968066
Provider Name Dr. Kimberly Lisa Vander Dussen
First Address Placentia, CA 92870-6102
Second Address Placentia, CA 92870-6102
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 18/01/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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