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Individual

MS. KIMBERELY A TILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
3200 4TH AVE STE 100, SAN DIEGO, CA 92103-5716
(619) 293-3994
(619) 260-1048
Mailing address
3200 4TH AVE STE 100, SAN DIEGO, CA 92103-5716
(619) 293-3994
(619) 260-1048

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23488
CA

Other

Enumeration date
02/22/2007
Last updated
04/19/2018
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