Individual
KIMBERLY M RENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6410 FANNIN ST STE 824, HOUSTON, TX 77030-3000
(713) 500-7840
(713) 486-0860
Mailing address
6410 FANNIN ST STE 824, HOUSTON, TX 77030-3000
(713) 500-7840
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2478-57
WI
103G00000X
Clinical Neuropsychologist
Primary
36245
TX
103TC2200X
Clinical Child & Adolescent Psychologist
2478
WI
103TH0004X
Health Psychologist
2478-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007906261U
HUMANA
—
05
—
39143300
—
WI
Enumeration date
05/22/2006
Last updated
03/17/2018
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