Individual
MS. KIMBERLY R. SKERVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 N SUNNY SLOPE RD, STE. 128, BROOKFIELD, WI 53005-4809
(262) 782-2820
Mailing address
7720 W EDEN PL, MILWAUKEE, WI 53220-1148
(414) 374-8188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2800
WI
1041C0700X
Clinical Social Worker
6989-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43572600
—
WI
Enumeration date
11/20/2005
Last updated
05/18/2009
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