Individual
KIMBERLY DAYLE ROATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-5536
(214) 590-5731
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-5594
(214) 648-4947
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
34358
TX
Other
Enumeration date
11/30/2009
Last updated
01/04/2019
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