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Individual

DR. KIMBERLY M CHUPURDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
546 N JEFFERSON LN, STE 200, SPOKANE, WA 99201-7103
(509) 688-6700
(509) 455-6913
Mailing address
PO BOX 2808, SPOKANE, WA 99220-2800
(509) 688-6700
(509) 688-6777

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2094
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154414761
ORGANIZATION NPI NUMBER
WA
Enumeration date
02/23/2006
Last updated
03/16/2017
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