Individual
DR. KYLE RICHARD CIEPLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
570 MEMORIAL CIR STE 150, ORMOND BEACH, FL 32174-5062
(386) 672-9250
(386) 672-9251
Mailing address
5616 GOODPASTURE GLN, BRADENTON, FL 34211-4000
(941) 929-3009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1135
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1135
SOUTH CAROLINA STATE LICENSE
SC
Enumeration date
02/08/2010
Last updated
10/20/2025
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