| Doctor Name: | MS. KIMBERLEY A EHRENSBECK |
| NPI Number: | 1386708451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 23 02 Whites Path South Bay Mental Health Center South Yarmouth, MA - 02664 |
| Business Phone Number: | 5087601475 |
| Business Fax Number: | 5087603719 |
| Mailing Address: | 800 Bearses Way 6sc, HYANNIS |
| State: | MA |
| Postal Code: | 02601 |
| Phone Number: | 5087407304 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |