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Individual
KIMBERLY EVANS
Active
Individual
KIMBERLY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13781
NY
103TC0700X
Clinical Psychologist
PSY31655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02006462
—
NY
Enumeration date
07/27/2006
Last updated
11/25/2020
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