Deboer, Kimberly C

Deboer, Kimberly C is an sole proprietor health care provider with primary practice located at 134 Broad St Suite 5, Stroudsburg PA 18360-1590. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Deboer, Kimberly C can be contacted via phone (570) 872-9324.

Contact Information

Primary practice address
134 Broad St Suite 5 Stroudsburg PA 18360-1590
Phone: (570) 872-9324
Fax: (570) 872-9325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC003734 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016801 Pennsylvania

Profile Details

NPI number 1841470465
LBN Legal business name Deboer, Kimberly C
Credentials PSY. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2007
Last updated Sep 1st, 2015 - about 10 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 1841470465 NPPES
Other 601931565 MEDICARE
MEDICAID 102070114 MEDICARE

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