| Doctor Name: | KIMBERLY CONWAY |
| NPI Number: | 1285969287 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | XL3082 |
| Business Practice Address: | 14 Maine St Suite 202 Brunswick, ME - 040112049 |
| Business Phone Number: | 2073730620 |
| Business Fax Number: | 2073730628 |
| Mailing Address: | 14 Maine St, Suite 202 BRUNSWICK |
| State: | ME |
| Postal Code: | 040112049 |
| Phone Number: | 2073730620 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2009 |
| NPI Last Update Date: | 10/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | XL3082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |