Individual
KIMBERLY COVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, RD, CSSD, L
Contact information
Practice address
987 OLD EAGLE SCHOOL RD STE 719, WAYNE, PA 19087-1708
(610) 363-0576
Mailing address
987 OLD EAGLE SCHOOL RD STE 719, WAYNE, PA 19087-1708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006582
PA
133V00000X
Registered Dietitian
Primary
DN000170
PA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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