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Individual

DR. KIMBERLY VANDERMARK GRIMSLEY

Active
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Individual

DR. KIMBERLY VANDERMARK GRIMSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
39052
TX
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0200X
Forensic Psychologist
103TH0004X
Health Psychologist
103TH0100X
Health Service Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP0814X
Psychoanalysis Psychologist
103TR0400X
Rehabilitation Psychologist

Other

Enumeration date
03/21/2022
Last updated
11/27/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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