| Doctor Name: | MRS. KIMBERLY ARIANNE AUSTIN |
| NPI Number: | 1144556556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAS |
| License Number: | 1214952 |
| Business Practice Address: | 6296 Fly Rd East Syracuse, NY - 130579333 |
| Business Phone Number: | 3157015710 |
| Business Fax Number: | |
| Mailing Address: | 214 Dorchester Ave Apt 2d, SYRACUSE |
| State: | NY |
| Postal Code: | 132031423 |
| Phone Number: | 3155295685 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2009 |
| NPI Last Update Date: | 10/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 1214952 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |