KIMBERLY S TATE CP

Dr KIMBERLY S TATE CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1986.

Contact

860 E FRANKLIN ST B
CENTERVILLE
OH
454595601

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KIMBERLY S TATE CP Information

Npi 1154418903
Pac Id 0648223578
Professional Enrollment Id I20050304000002
Last Name TATE
First Name KIMBERLY
Middle Name S
Suffix
Gender F
Credential CP
Medical School Name OTHER
Graduation Year 1986
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 860 E FRANKLIN ST B
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CENTERVILLE
State OH
Zip Code 454595601
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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