Dielmann, Kim

Dielmann, Kim is an sole proprietor health care provider with primary practice located at 4206 Prince St , Conway AR 72034-9398. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dielmann, Kim can be contacted via phone (501) 932-2055.

Contact Information

Primary practice address
4206 Prince St Conway AR 72034-9398
Phone: (501) 932-2055
Fax: (501) 932-2058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 07-27P Arkansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 07-27P Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 07-27P Arkansas

Profile Details

NPI number 1538371190
LBN Legal business name Dielmann, Kim
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jun 10th, 2019 - about 5 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 1538371190 NPPES
Arkansas MEDICAID 194027719

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