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Individual

KIMBERLY MARIE HILL GRUNDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
108 W 3RD ST STE C, FIRTH, NE 68358-6025
(402) 802-0818
(402) 205-1180
Mailing address
108 W 3RD ST STE C, FIRTH, NE 68358-6025
(402) 802-0818
(402) 205-1180

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
902
NE
103TS0200X
School Psychologist
46863

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026172100
NE
Enumeration date
07/29/2013
Last updated
10/04/2022
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