Individual
KIMBERLY JOY BRAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., J.D.
Contact information
Practice address
92 BAY ST, GLENS FALLS, NY 12801-3031
(518) 480-3188
(518) 480-3189
Mailing address
92 BAY ST, GLENS FALLS, NY 12801-3031
(518) 792-9100
(518) 480-3189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
016568
NY
103TC0700X
Clinical Psychologist
Primary
016568
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02694246
—
NY
Enumeration date
10/25/2005
Last updated
11/03/2023
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