Doctor Name: | DR. KIMBERLY GALLAGHER TRAYHAN |
NPI Number: | 1487964011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 21449 Water Wood Dr Garden Ridge, TX - 782662782 |
Business Phone Number: | 2105663522 |
Business Fax Number: | |
Mailing Address: | 21449 Water Wood Dr, GARDEN RIDGE |
State: | TX |
Postal Code: | 782662782 |
Phone Number: | 2105663522 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2010 |
NPI Last Update Date: | 10/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |