MEDICARE: KIMBERLY SLIPSKI MA

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	106H00000X	Marriage & Family Therapist	130527	CA

General Provider Information

NPI Number	:	1750032462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SLIPSKI MA

Provider Business Mailing Address
First Line	:	200 E DEL MAR BLVD STE 104
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2551
Country	:	US
Telephone Number	:	310-734-8140
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E DEL MAR BLVD STE 104
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2551
Country	:	US
Telephone Number	:	310-734-8140
Fax Number	:

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

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	06/08/2026

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Directions to “ KIMBERLY SLIPSKI MA” Practice Location

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