Individual
KIMBERLY MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
22042 WATER RUN CT, ASHBURN, VA 20148-7116
(703) 639-7419
Mailing address
22042 WATER RUN CT, ASHBURN, VA 20148-7116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002784
VA
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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