Individual
MS. KIMBERLY ANNE MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1111 W 10TH ST # PBA212, 1224, INDIANAPOLIS, IN 46202-4800
(317) 274-1224
Mailing address
128 MONROE ST, BALL, LA 71405-3728
(318) 229-1259
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
390200000X.
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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