Dimeola, Kimberly Ann

Dimeola, Kimberly Ann is an individual health care provider with primary practice located at 352 State St , North Haven CT 06473-3108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dimeola, Kimberly Ann can be contacted via phone (203) 781-4695.

Contact Information

Primary practice address
352 State St North Haven CT 06473-3108
Phone: (203) 781-4695
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000536 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006047 Connecticut

Profile Details

NPI number 1437428240
LBN Legal business name Dimeola, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2011
Last updated Jan 24th, 2022 - about 2 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 1437428240 NPPES
Connecticut MEDICAID 004082286
Connecticut MEDICAID 500000315
Connecticut MEDICAID 008022626
Connecticut MEDICAID 008038047

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