Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL LEE AHN, PHD, MLIS
Active Sole ProprietorDR. RANDALL LEE AHN, PHD, MLIS is a Child, Clinical Psychologist healthcare provider located in FONTANA, California. NPI 1093939399 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · FONTANA, CA
Registration Details
- NPI Number
- 1093939399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.371067181591 yrs)
- Last Updated
- May 7, 2024
- License
-
PSY13956 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16465 SIERRA LAKES PKWY STE 140FONTANA, CA, 923361242Browse CA providers · Browse ZIP 92336
- Phone
- 9092449593
- Fax
- 8339030337
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.