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NPI Code Detail

MEDICARE: DR. KIMBERLY HERRIMAN PSYD

MEDICARE: DR. KIMBERLY HERRIMAN PSYD
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
1103TC1900XCounseling Psychologist
2103TC0700XClinical PsychologistPSY34336CA

General Provider Information

NPI Number : 1710037338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY HERRIMAN PSYD
Provider Business Mailing Address
First Line : 2034 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3814
Country : US
Telephone Number : 805-450-9127
Fax Number :
Provider Business Practice Location Address
First Line : 2034 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3814
Country : US
Telephone Number : 805-450-9127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 11/17/2023

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