Individual
KIMBERLY KOWALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS
Contact information
Practice address
323 MIRA VISTA DR, DUNEDIN, FL 34698-3317
(570) 296-1054
(570) 300-2329
Mailing address
323 MIRA VISTA DR, DUNEDIN, FL 34698-3317
(845) 707-0370
(570) 300-2329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
PY12058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007592970029
—
PA
Enumeration date
08/08/2014
Last updated
02/01/2026
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