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Individual

DR. CARRIE ANN KIMPTON HEALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
15615 ALTON PKWY STE 230, IRVINE, CA 92618
(319) 538-8782
(855) 779-3627
Mailing address
15615 ALTON PKWY STE 230, IRVINE, CA 92618-7306
(319) 538-8782
(855) 779-3627

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001247
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001247
IOWA PSYCHOLOGY LICENSE
IA
01
000613
HEALTH SERVICE PROVIDER
IA
Enumeration date
09/03/2013
Last updated
04/15/2019
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