Individual
DR. KIMBERLY MARIE GENUARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(336) 457-4731
Mailing address
3550 MARKET ST STE 2042, PHILADELPHIA, PA 19104-3329
(267) 426-0149
(267) 426-6012
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
01/22/2019
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