Individual
BETHANY KLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 AUBURN BLVD, STE 2200, SACRAMENTO, CA 95841-4167
(916) 473-5764
Mailing address
1554 ONEIDA ST, APPLETON, WI 54915-7025
(920) 636-0278
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1631
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14176331
—
AL
Enumeration date
03/12/2008
Last updated
01/07/2018
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