Individual
DR. KIMBERLY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
108 N JEFFERSON ST, MEDICAL LAKE, WA 99022-9613
(509) 496-2857
(509) 315-5048
Mailing address
14304 E 10TH AVE, SPOKANE VALLEY, WA 99037-9648
(509) 496-2857
(509) 315-5048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7142250
—
WA
Enumeration date
04/07/2008
Last updated
01/06/2009
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