Individual
DR. KIMBERLEY LAYNE BENTON PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8506 SIX FORKS RD STE 104, RALEIGH, NC 27615-3260
(919) 234-7247
(919) 238-1970
Mailing address
8506 SIX FORKS RD STE 104, RALEIGH, NC 27615-3260
(919) 234-7247
(919) 238-1970
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5077
NC
Other
Enumeration date
09/09/2009
Last updated
04/27/2023
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