Individual
KIMBERLY MICHELE PRATT
Active
Individual
KIMBERLY MICHELE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P3131
TN
103TC0700X
Clinical Psychologist
Primary
0810004965
VA
Other
Enumeration date
02/05/2013
Last updated
10/28/2016
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