Individual
KIMBERLY NICOLE PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-0414
(602) 933-4252
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
PSY-005002
AZ
103T00000X
Psychologist
2016032456
MO
Other
Enumeration date
01/18/2013
Last updated
08/28/2018
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