Individual
DR. KIMBERLY LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2506 HAWKINS LN, EUGENE, OR 97405-1203
(541) 683-3558
(541) 683-3558
Mailing address
2506 HAWKINS LN, EUGENE, OR 97405-1203
(541) 683-3558
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1131
OR
Other
Enumeration date
10/13/2006
Last updated
11/01/2013
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