Individual
TERRENCE P KIMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3060 TAMIAMI TRL N, SUITE 202, NAPLES, FL 34103-2700
(239) 398-0009
Mailing address
3060 TAMIAMI TRL N, SUITE 202, NAPLES, FL 34103-2700
(239) 398-0009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0468084
UNITED HEALTH PLANS
RI
01
—
29801-02
BLUE CROSS & BLUE SHIELD
RI
01
—
413074
COORDINATED HEALTH PLANS
RI
Enumeration date
06/24/2006
Last updated
02/18/2011
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