MEDICARE: DR. KIMBERLY DEMBY PH.D.

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	103TC1900X	Counseling Psychologist	37197	TX

General Provider Information

NPI Number	:	1295193480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY DEMBY PH.D.

Provider Business Mailing Address
First Line	:	633 E FERNHURST DR STE 504
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-1589
Country	:	US
Telephone Number	:	832-906-4434
Fax Number	:

Provider Business Practice Location Address
First Line	:	633 E FERNHURST DR STE 504
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-1589
Country	:	US
Telephone Number	:	832-906-4434
Fax Number	:

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

Provider Enumeration Date	:	02/03/2016
Last Update Date	:	07/02/2020

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Directions to “ DR. KIMBERLY DEMBY PH.D.” Practice Location

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