Individual
MICHAEL KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6635 W CENTRAL AVE, TOLEDO, OH 43617-1029
(734) 693-0554
(419) 517-1349
Mailing address
7040 MONROE ST, SYLVANIA, OH 43560-1923
(734) 454-3560
(734) 454-3570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07781
OH
103TC0700X
Clinical Psychologist
6301014600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294590
—
OH
Enumeration date
10/24/2013
Last updated
11/15/2024
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