Individual
DR. KIMBERLY WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
66 CLUB RD STE 160, EUGENE, OR 97401-2439
(541) 345-1722
(541) 485-7049
Mailing address
PO BOX 70779, SPRINGFIELD, OR 97475-0137
(541) 345-1722
(541) 485-7049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1815
OR
103TC0700X
Clinical Psychologist
Primary
1815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14372849
CAQH ID
—
05
—
500611820
—
OR
Enumeration date
09/09/2008
Last updated
09/21/2023
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