Individual
CHRISTINE KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(858) 264-5858
(858) 649-6012
Mailing address
PO BOX 16795, SAN DIEGO, CA 92176-6795
(530) 760-7010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30726
CA
Other
Enumeration date
05/29/2014
Last updated
10/17/2020
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