Individual
DR. KIMBERLY P ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6535 N CHARLES ST, SUITE 300, BAETO, MD 21204-5826
(410) 938-5252
(410) 938-5250
Mailing address
6535 N CHARLES ST, SUITE 300, BAETO, MD 21204-5826
(410) 938-5252
(410) 938-5250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03289
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65520102
CAR
MD
Enumeration date
07/28/2006
Last updated
07/08/2007
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