Individual
DR. KIMBERLY E ANZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
330 N MAIN ST STE 104, CENTERVILLE, OH 45459-4459
(937) 813-6240
(937) 619-8202
Mailing address
330 N MAIN ST STE 104, CENTERVILLE, OH 45459-4459
(937) 813-6240
(937) 619-8202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315928
—
OH
Enumeration date
03/31/2015
Last updated
07/30/2019
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