Eddy, Kimberly Lou

Eddy, Kimberly Lou is an sole proprietor health care provider with primary practice located at 2650 Jones Way Ste 10 , Simi Valley CA 93065-1215. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Eddy, Kimberly Lou can be contacted via phone (805) 522-1844.

Contact Information

Primary practice address
2650 Jones Way Ste 10 Simi Valley CA 93065-1215
Phone: (805) 522-1844
Fax: (805) 522-5345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25043 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1265600597
LBN Legal business name Eddy, Kimberly Lou
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2008
Last updated Feb 9th, 2023 - about last year

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 1265600597 NPPES
California Other 25043 PSYCHOLOGIST
California Other 25043 PSYCHOLOGIST

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