MEDICARE: DR. KIMBERLY B. ORAM PSY.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	103TC0700X	Clinical Psychologist	PY6336	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PY6336	OTHER	FL	FLORIDA LICENSE

General Provider Information

NPI Number	:	1629003553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY B. ORAM PSY.D.

Provider Business Mailing Address
First Line	:	4216 NE HYLINE DR
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-3830
Country	:	US
Telephone Number	:	772-232-0786
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 SW CHAMBER CT
Second Line	:	SUITE 105
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-3413
Country	:	US
Telephone Number	:	772-809-9000
Fax Number	:	772-809-9087

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/24/2008

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