Provider Demographics
NPI:1861738940
Name:LEARN, AMBER (PSYD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:LEARN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E FM 544
Mailing Address - Street 2:# 72-105
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4034
Mailing Address - Country:US
Mailing Address - Phone:951-383-5719
Mailing Address - Fax:888-974-5996
Practice Address - Street 1:31805 TEMECULA PKWY STE D7-374
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-8203
Practice Address - Country:US
Practice Address - Phone:858-610-4625
Practice Address - Fax:888-974-5996
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38738103TC0700X
CAPSY25444103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical