Individual
KIMBERLY FACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
1021 AL TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-4502
(530) 541-2850
Mailing address
1021 AL TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-4502
(530) 541-2850
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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