Gydish-Theobald, Kimberly Marie

Gydish-Theobald, Kimberly Marie is an individual health care provider with primary practice located at 1536 Kingsley Ave Suite 126, Orange Park FL 32073-4587. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gydish-Theobald, Kimberly Marie can be contacted via phone (904) 264-8311.

Contact Information

Primary practice address
1536 Kingsley Ave Suite 126 Orange Park FL 32073-4587
Phone: (904) 264-8311
Fax: (904) 264-8377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7918 Florida

Profile Details

NPI number 1740225176
LBN Legal business name Gydish-Theobald, Kimberly Marie
Credentials M.ED., L.M.H.C.,CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated May 6th, 2020 - 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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