Dr Kimberly Carnegie Briscoe, PHD/DSW is a
Psychologist based in Crown Point, Indiana. Dr Kimberly Carnegie Briscoe is licensed to practice in Indiana (license number ) and her current practice location is
5612 E 117th Ave, Crown Point, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 814-2793.
NPI number for Dr Kimberly Carnegie Briscoe is 1255649398 and her current mailing address is 5612 E 117th Ave, Crown Point, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255649398.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Carnegie Briscoe |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 5612 E 117th Ave, Crown Point, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255649398
- Provider Enumeration Date: 09/23/2010
- Last Update Date: 09/23/2010
Medical Identifiers
Medical identifiers for Dr Kimberly Carnegie Briscoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255649398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (Indiana) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 170100000X | Medical Genetics, Ph.d. Medical Genetics | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Carnegie Briscoe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kimberly Carnegie Briscoe, PHD/DSW
5612 E 117th Ave,
Crown Point, IN 46307-8681
Ph: (218) 814-2793 | Dr Kimberly Carnegie Briscoe, PHD/DSW
5612 E 117th Ave,
Crown Point, IN 46307
Ph: (219) 814-2793 |
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