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NPI Code Detail

MEDICARE: KIMBERLY M. DANIELS PSY D.

MEDICARE:   KIMBERLY M. DANIELS  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
1103T00000XPsychologist002380CT

General Provider Information

NPI Number : 1922074343
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY M. DANIELS PSY D.
Provider Business Mailing Address
First Line : 682 PROSPECT AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06105-4238
Country : US
Telephone Number : 860-231-2227
Fax Number : 860-231-2227
Provider Business Practice Location Address
First Line : 682 PROSPECT AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06105-4238
Country : US
Telephone Number : 860-231-2227
Fax Number : 860-231-2227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2006
Last Update Date : 12/06/2019

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Directions to “ KIMBERLY M. DANIELS PSY D.” Practice Location

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