Individual
KIMBERLEY MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 393-7613
Mailing address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 393-7613
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1699
AL
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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