Individual
DR. KIMBERLY SILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023641-01
NY
103T00000X
Psychologist
PY10789
FL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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