Individual
CHARLOTTE M. KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2000 W 2ND AVE, CORSICANA, TX 75110-2510
(903) 390-2300
Mailing address
PO BOX 1478, MEXIA, TX 76667-1478
(903) 390-2200
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
23853
TX
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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