Individual
DR. KIMBERLY CARNEGIE BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD/DSW
Contact information
Practice address
5612 E 117TH AVE, CROWN POINT, IN 46307
(219) 814-2793
Mailing address
5612 E 117TH AVE, CROWN POINT, IN 46307-8681
(218) 814-2793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
IN
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
170100000X
Ph.D. Medical Genetics
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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