Individual
KIMBERLY CAOUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4701 W THUNDERBIRD RD, GLENDALE, AZ 85306-4900
(602) 543-8019
Mailing address
PO BOX 168007, IRVING, TX 75016-8007
(469) 735-4545
(469) 735-4640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3705
AZ
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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