Individual
DR. KIMBERLY MULLEN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75 LANDING MEADOW RD, SMITHTOWN, NY 11787-1124
(631) 360-4700
(631) 360-4790
Mailing address
242 CAMBON AVE, SAINT JAMES, NY 11780-2504
(631) 584-3403
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014928-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014928-1
LICENSE NUMBER
NY
Enumeration date
03/27/2007
Last updated
07/08/2007
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