Booker, Kimberly W

Booker, Kimberly W is an individual health care provider with primary practice located at 1101 N Little School Rd Suite B, Arlington TX 76017-1900. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Booker, Kimberly W can be contacted via phone (817) 533-0823.

Contact Information

Primary practice address
1101 N Little School Rd Suite B Arlington TX 76017-1900
Phone: (817) 533-0823
Fax: (817) 391-1444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 33101 Texas

Profile Details

NPI number 1568542587
LBN Legal business name Booker, Kimberly W
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Apr 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568542587 NPPES
Texas MEDICAID 194228601

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