Kimbauer, Elli
Kimbauer, Elli is an sole proprietor health care provider with primary practice located at 1080 Mason Mall 6A, Crescent City CA 95531-4334. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kimbauer, Elli can be contacted via phone (707) 464-7662.Contact Information
Primary practice address
1080 Mason Mall 6A
Crescent City CA 95531-4334
Phone: (707) 464-7662
Fax: (707) 464-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 18816 | California |
Profile Details
| NPI number | 1245249523 |
|---|---|
| LBN Legal business name | Kimbauer, Elli |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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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