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
Phone: (909) 558-2848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932347481 | NPPES |
| California | MEDICAID | PSY173740 |
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