Individual
MRS. KIMBERLY FEGADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAS, NCSP
Contact information
Practice address
14501 AVERY RD, ROCKVILLE, MD 20853-3601
(240) 740-5014
Mailing address
14501 AVERY RD, ROCKVILLE, MD 20853-3601
(240) 740-5014
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1001651973
MD
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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