| Doctor Name: | KIMBERLY STRAND |
| NPI Number: | 1306931126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 0810003056 |
| Business Practice Address: | 2239f Tacketts Mill Dr Psychological & Life Skills Assoc Pc Lake Ridge, VA - 22192 |
| Business Phone Number: | 7034900336 |
| Business Fax Number: | 7034904525 |
| Mailing Address: | 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc LAKE RIDGE |
| State: | VA |
| Postal Code: | 22192 |
| Phone Number: | 7034900336 |
| Fax Number: | 7034904525 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810003056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |