Individual
DR. KIMBERLY LYNN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
261 MACK AVE STE 188, DETROIT, MI 48201-2417
(313) 745-1203
Mailing address
261 MACK AVE STE 188, DETROIT, MI 48201-2417
(313) 745-1203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015249
MI
Other
Enumeration date
10/03/2013
Last updated
04/25/2019
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