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Individual

DR. KIMBERLY M. KOTOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1829 E FRANKLIN ST, SUITE 100D, CHAPEL HILL, NC 27514-5861
(919) 360-0065
Mailing address
1829 E FRANKLIN ST, SUITE 100D, CHAPEL HILL, NC 27514-5861
(919) 360-0065

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4622
NC
103TC0700X
Clinical Psychologist
Primary
4622
NC
103TF0000X
Family Psychologist
4622
NC
103TP2701X
Group Psychotherapy Psychologist
4622
NC

Other

Enumeration date
06/11/2014
Last updated
06/11/2014
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