Doctor Name: | KIMBERLY J CHRISTOPHER |
NPI Number: | 1215070404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 003155 |
Business Practice Address: | 409 Bantam Rd Suite A1 Litchfield, CT - 067593200 |
Business Phone Number: | 8604596017 |
Business Fax Number: | |
Mailing Address: | 409 Bantam Rd, Suite A1 LITCHFIELD |
State: | CT |
Postal Code: | 067593200 |
Phone Number: | 8604596017 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 003155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |