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KIMBERLY CHANTELLE DIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2671
(319) 384-9552
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2671
(319) 384-9552

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
114355
IA
103T00000X
Psychologist
114355
IA
103TC0700X
Clinical Psychologist
114355
IA
103TC0700X
Clinical Psychologist
2925
KS

Other

Enumeration date
07/30/2019
Last updated
10/07/2022
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