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General NPI Number Information
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NPI Number | 1528977931
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Entity Type | Organization
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Legal Business Name | KATHERINE GIMMESTAD, PHD, LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 1040 LAKE RIDGE DR
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City | BRIGHTON
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State | MI
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Zip | 48114-8757
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Country | US
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Telephone | 816-305-1659
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Fax | 810-222-7036
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Provider Business Mailing Address
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Address Line | 1040 LAKE RIDGE DR
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City | BRIGHTON
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State | MI
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Zip | 48114-8757
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Country | US
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Telephone | 816-305-1659
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Fax | 810-222-7036
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. KATHERINE DAWN GIMMESTAD
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Credential | PH.D.
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Telephone | 816-305-1659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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