Individual
KIMBERLY WHITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
22394 MIFLIN RD STE 201B, FOLEY, AL 36535-9593
(251) 943-6213
(251) 943-6213
Mailing address
504 GARDEN CLUB DR, DELAND, FL 32724-7327
(251) 979-5538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
11213
FL
103TC0700X
Clinical Psychologist
Primary
850
AL
Other
Enumeration date
03/27/2012
Last updated
02/07/2025
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