Marilyn Cecelia Kimble in Clarkston - Clinical
Marilyn Cecelia Kimble - NPI 1962412601
Marilyn Cecelia Kimble is a Clinical in Clarkston, Georgia. Marilyn Cecelia Kimble practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marilyn Cecelia Kimble is 1962412601. The last update date is 2007-07-08.
Marilyn Cecelia Kimble's current location address is 1138 Melrose Dr, Clarkston, Georgia. You can contact this provider via phone number 4045082348. The mailing address for Marilyn Cecelia Kimble is 1138 Melrose Dr, Clarkston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Cecelia Kimble |
|---|---|
| Address | 1138 Melrose Dr, Clarkston, Georgia |
| Phone Number | 4045082348 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1962412601 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1138 Melrose Dr |
|---|---|
| City | Clarkston |
| State | Georgia (GA) |
| Post Code | 300212837 |
| Phone Number | 4045082348 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1456 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61-00158 | GA | EVERCARE CHOICE PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Marilyn Cecelia Kimble by the Centers for Medicare & Medicaid Services?
The Marilyn Cecelia Kimble has been assigned the NPI (National Provider Identifier) 1962412601. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marilyn Cecelia Kimble's physical address?
The Marilyn Cecelia Kimble is physically located at 1138 Melrose Dr, in the city of Clarkston, GA, with the postal code 300212837.
What is the area of specialization for Marilyn Cecelia Kimble, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marilyn Cecelia Kimble is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Marilyn Cecelia Kimble receive its 1962412601 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn Cecelia Kimble was assigned its 1962412601 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marilyn Cecelia Kimble most recently updated or refreshed?
The details pertaining to the Marilyn Cecelia Kimble, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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