MEDICARE: KIMBERLY R GIULIANI PHD

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	103T00000X	Psychologist	002153	CT
2	103T00000X	Psychologist	PY7682	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215918099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY R GIULIANI PHD

Provider Business Mailing Address
First Line	:	1136 VINTNER BLVD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-1533
Country	:	US
Telephone Number	:	561-691-0704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1136 VINTNER BLVD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-1533
Country	:	US
Telephone Number	:	561-691-0704
Fax Number	:

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	03/18/2014

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