| Doctor Name: | MRS. KIMBERLY RENEE O'LEARY |
| NPI Number: | 1033277959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW |
| License Number: | 33004961A |
| Business Practice Address: | 901 Prince William Rd Delphi, IN - 469231758 |
| Business Phone Number: | 7655643016 |
| Business Fax Number: | |
| Mailing Address: | 901 Prince William Rd, DELPHI |
| State: | IN |
| Postal Code: | 469231758 |
| Phone Number: | 7655643016 |
| Fax Number: | 7655642608 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 33004961A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |