Freeman, Kimberly R

Freeman, Kimberly R is an individual health care provider with primary practice located at 11370 Anderson St Ste B100 , Loma Linda CA 92354-3450. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Freeman, Kimberly R can be contacted via phone (909) 558-2848.

Contact Information

Primary practice address
11370 Anderson St Ste B100 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 17374 California

Profile Details

NPI number 1932347481
LBN Legal business name Freeman, Kimberly R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2009
Last updated Jan 7th, 2011 - about 13 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 1932347481 NPPES
California MEDICAID PSY173740

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