Individual
KIMBERLY JUNE HART
Active
Individual
KIMBERLY JUNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071008632
IL
103TC0700X
Clinical Psychologist
Primary
079232
IA
103TC0700X
Clinical Psychologist
PSY - 202622
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071008632
CLINICAL PSYCHOLOGIST
IL
Enumeration date
12/06/2012
Last updated
10/15/2015
Update your record
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