MEDICARE: KIMBERLEY DOBBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC006474	PA

General Provider Information

NPI Number	:	1013332220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLEY DOBBS

Provider Business Mailing Address
First Line	:	251 W DEKALB PIKE
Second Line	:	607
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-2421
Country	:	US
Telephone Number	:	610-504-5234
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 WALNUT ST
Second Line	:	SUITE 701
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3218
Country	:	US
Telephone Number	:	610-504-5234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	03/15/2016

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Directions to “ KIMBERLEY DOBBS ” Practice Location

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