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NPI Code Detail

MEDICARE: MS. KIMBERLY ATWOOD MA, LPC, MT-BC

MEDICARE:  MS. KIMBERLY  ATWOOD  MA, LPC, MT-BC
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
1225A00000XMusic Therapist000983NY
2101YP2500XProfessional Counselor005998PA

General Provider Information

NPI Number : 1679607642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY ATWOOD MA, LPC, MT-BC
Provider Business Mailing Address
First Line : 107 N BROAD ST STE 300
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-3755
Country : US
Telephone Number : 215-767-1224
Fax Number :
Provider Business Practice Location Address
First Line : 107 N BROAD ST STE 300
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-3755
Country : US
Telephone Number : 215-767-1224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 03/19/2015

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Directions to “ MS. KIMBERLY ATWOOD MA, LPC, MT-BC” Practice Location

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