Individual
MRS. KIMBERLY ANN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
390 PARK AVE, MEADVILLE, PA 16335-1243
(724) 866-2907
Mailing address
29 CATHIE DR, SANDY LAKE, PA 16145-3649
(724) 376-2894
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW123933
PA
1041C0700X
Clinical Social Worker
Primary
CW015852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024602900001
—
PA
01
—
CW015852
LICENSE CLINICAL SOCIAL WORKER
PA
01
—
SW123933
SOCIAL WORK
PA
Enumeration date
05/09/2007
Last updated
05/01/2012
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