Organization
MICHAEL KIMBALL INTEGRATIVE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KIMBALL PSY.D. (CLINICAL PSYCHOLOGIST)
(734) 693-0554
Entity
Organization
Contact information
Practice address
6635 W CENTRAL AVE, TOLEDO, OH 43617-1029
(419) 517-0105
(419) 517-1349
Mailing address
7040 MONROE ST, SYLVANIA, OH 43560-1923
(734) 693-0554
(419) 517-1349
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294590
—
OH
Enumeration date
07/27/2022
Last updated
08/05/2022
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