Doctor Name: | KIMBERLY S INFANTI |
NPI Number: | 1295748887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED.,NBCC, L.P.C. |
License Number: | PC001440 |
Business Practice Address: | 690 Harleysville Pike Second Floor Harleysville, PA - 19438 |
Business Phone Number: | 2152560164 |
Business Fax Number: | 2152563159 |
Mailing Address: | Po Box 101, LEDERACH |
State: | PA |
Postal Code: | 194500101 |
Phone Number: | 2152560164 |
Fax Number: | 2152563159 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |