Individual
KIMBERLY MARIE BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
141 PARKER ST, MAYNARD, MA 01754-2178
(866) 991-2103
Mailing address
2550 WATERVIEW DR UNIT 152, NORTHBROOK, IL 60062-6349
(815) 236-4941
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810005673
VA
103TC0700X
Clinical Psychologist
Primary
0810005673
VA
Other
Enumeration date
04/06/2017
Last updated
10/11/2025
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