Individual
MRS. KIMBERLY LYNN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7333
Mailing address
1009 E THUNDERBIRD CT, EAGLE, ID 83616-4193
(208) 938-0075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PSY-202549
ID
Other
Enumeration date
08/20/2008
Last updated
04/26/2013
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