| Doctor Name: | KIMBERLY CARTER |
| NPI Number: | 1265648935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 0810003750 |
| Business Practice Address: | 3700 Fettler Park Dr Dumfries, VA - 220252050 |
| Business Phone Number: | 7034417687 |
| Business Fax Number: | |
| Mailing Address: | 9300 Dewitt Loop, FORT BELVOIR |
| State: | VA |
| Postal Code: | 220605285 |
| Phone Number: | 7034417687 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810003750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |