| Doctor Name: | DR. KIMBERLY S D'ANDREA |
| NPI Number: | 1275738718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PS016214 |
| Business Practice Address: | 670 N River St Suite 403 Plains, PA - 187051027 |
| Business Phone Number: | 5708292250 |
| Business Fax Number: | 5708292250 |
| Mailing Address: | 7 Amato Dr, MOOSIC |
| State: | PA |
| Postal Code: | 185071788 |
| Phone Number: | 5703445599 |
| Fax Number: | 5703446699 |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 01/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |