Engelhardt, John Thomas Harlow

Engelhardt, John Thomas Harlow is an sole proprietor health care provider with primary practice located at 330 6Th St Ste 110 , Redlands CA 92374-3312. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Engelhardt, John Thomas Harlow can be contacted via phone (909) 307-1204.

Contact Information

Primary practice address
330 6Th St Ste 110 Redlands CA 92374-3312
Phone: (909) 307-1204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31436 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1390 Oregon

Profile Details

NPI number 1376524645
LBN Legal business name Engelhardt, John Thomas Harlow
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Jan 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376524645 NPPES
Oregon Other 1390 LICENSE NUMBER (PSYCHOLOG
Oregon Other 31436 LICENSE NUMBER (PSYCHOLOG

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