Individual
DR. STACEY KIMMELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
160 COMMONWEALTH AVE, SUITE U3, BOSTON, MA 02116-2707
(617) 259-1895
Mailing address
160 COMMONWEALTH AVE, SUITE U3, BOSTON, MA 02116-2707
(617) 259-1895
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8199
MA
Other
Enumeration date
01/02/2007
Last updated
11/14/2008
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