Kimberly Stark, Psyd, Llc | |
1339 1/2 Mount Vernon Ave Marion OH 43302-5626 | |
(740) 751-7860 | |
Not Available |
Full Name | Kimberly Stark, Psyd, Llc |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1339 1/2 Mount Vernon Ave, Marion, Ohio |
Authorized Official Name and Position | Kimberly Ann Stark-dickason (PSYCHOLOGIST) |
Authorized Official Contact | 7407517860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kimberly Stark, Psyd, Llc 1339 1/2 Mount Vernon Ave Marion OH 43302-5626 Ph: (740) 751-7860 | Kimberly Stark, Psyd, Llc 1339 1/2 Mount Vernon Ave Marion OH 43302-5626 Ph: (740) 751-7860 |
NPI Number | 1972817104 |
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Provider Enumeration Date | 07/29/2010 |
Last Update Date | 07/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972817104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 6546 (Ohio) | Primary |
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