Individual
DR. RONALD LEE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4 BURKET CT, SILVER SPRING, MD 20910-1355
(202) 452-6257
(301) 608-2624
Mailing address
4 BURKET CT, SILVER SPRING, MD 20910-1355
(202) 452-6257
(301) 608-2624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00775
MD
103T00000X
Psychologist
PSY886
DC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY886
DC
103TF0200X
Forensic Psychologist
PSY886
DC
103TP2701X
Group Psychotherapy Psychologist
PSY886
DC
Other
Enumeration date
09/29/2006
Last updated
08/31/2020
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