Roy, Kimberlee Marie

Roy, Kimberlee Marie is an individual health care provider with primary practice located at 100 Mario Capecchi Dr Division Of Behavioral Health (Ms52), Salt Lake City UT 84113-1103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Roy, Kimberlee Marie can be contacted via phone (801) 662-6755.

Contact Information

Primary practice address
100 Mario Capecchi Dr Division Of Behavioral Health (Ms52) Salt Lake City UT 84113-1103
Fax: (801) 662-6756
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7364557-2501 Utah

Profile Details

NPI number 1386877397
LBN Legal business name Roy, Kimberlee Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2009
Last updated Aug 25th, 2009 - about 15 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 1386877397 NPPES
Utah Other 7364557-2501 LICENSE NUMBER

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