Individual
KIMBERLY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED., NCSP
Contact information
Practice address
9110 146TH ST, JAMAICA, NY 11435-4301
(718) 468-9000
(718) 464-2017
Mailing address
9110 146TH ST, JAMAICA, NY 11435-4301
(718) 468-9000
(718) 464-2017
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1185551
NY
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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