Doctor Name: | DR. KIMBERLY H SCHLIEVERT |
NPI Number: | 1245485507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. IN PSYCHOLOGY |
License Number: | 12529 |
Business Practice Address: | 880 82nd Dr Gladstone, OR - 970271803 |
Business Phone Number: | 5036595515 |
Business Fax Number: | 5036591994 |
Mailing Address: | 880 82nd Dr, GLADSTONE |
State: | OR |
Postal Code: | 970271803 |
Phone Number: | 5036595515 |
Fax Number: | 5036591994 |
NPI Enumeration Date: | 11/28/2008 |
NPI Last Update Date: | 11/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 12529 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |