Individual
KIMBERLY BETH DIEBBOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-6716
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-6716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301011139
MI
103TC0700X
Clinical Psychologist
Primary
6361005209
MI
Other
Enumeration date
04/27/2008
Last updated
02/10/2022
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