Individual
DR. KIMBERLY A HAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2422 E WASHINGTON ST, WASHINGTON ARCHES II, SUITE 108, BLOOMINGTON, IL 61704-4478
(309) 310-1759
Mailing address
2704 BLARNEY STONE LN, BLOOMINGTON, IL 61704-8414
(309) 310-1759
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004504
IL
103TC1900X
Counseling Psychologist
071004504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732103
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/22/2006
Last updated
08/30/2011
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