MIRIAM CARROLL CRUMBY KIMBALL


Address: 29816 Aster St, Walker, LA 70785-7929
Phone: 3186233863

MIRIAM CARROLL CRUMBY KIMBALL (NPI# 1447673942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447673942
Entity Type Individual
Full Name MIRIAM CARROLL CRUMBY KIMBALL
Credential SSP, NCSP
Practice Address 29816 Aster St
Walker
LA 70785-7929
Practice Telephone 3186233863
Mailing Telephone 3186233863
Enumeration Date 2014-02-04
Last Update Date 2014-02-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
AN 478326 LA Behavioral Health & Social Service Providers

Office Location

Street Address 29816 ASTER ST
City WALKER
State LA
Zip Code 70785-7929

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1073039566 Lynette Rolland Psychologist 5862 Sylvia Dr, New Orleans, LA 70124-1132 2017-08-17
1811412448 Wealthia Lyna Jackson Psychologist 11115 Sandwood Dr, Keithville, LA 71047-8345 2017-08-04
1447780382 Latasha M Cubas Psychologist 128 Oakmont Dr, La Place, LA 70068-1730 2017-06-14
1528417045 Mandi Gaubert Bonvillain Psychologist 1018 Verrett Street, Houma, LA 70360 2016-06-06
1679952469 W Alan Coulter Psychologist 1900 Gravier, 6th Floor, New Orleans, LA 70112 2015-05-26
1982098943 Assessment & Psychological Services, Inc Psychologist 4300 S I 10 Service Rd W Ste 112, Metairie, LA 70001-7425 2015-03-26
1811319239 Damon B. Smothers Psychologist 12100 Morrison Rd, New Orleans, LA 70128-2418 2014-01-21
1376979781 Tobi Moore Provenzano Psychologist 8501 Manhattan, Harvey, LA 70058 2013-09-17
1982996054 Barbara Jean Cottingham Psychologist 6728 Kinloch St, Winnsboro, LA 71295-2618 2011-05-09
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Competitor

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City WALKER
Zip Code 70785

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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