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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
AN 478326 | LA | Behavioral Health & Social Service Providers |
Street Address |
29816 ASTER ST |
City | WALKER |
State | LA |
Zip Code | 70785-7929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538680228 | Megan Price Berthelot | Pharmacist | 29881 Walker South Rd., Walker, LA 70785 | 2017-07-03 |
1275994956 | Shelby Reeder | Counselor | 31947 Little Flock Circle, Walker, LA 70785 | 2016-03-09 |
1326440561 | Ashley Dominique Williams | Pharmacist | 29881 Walker Rd, Walker, LA 70785 | 2014-09-18 |
1881094803 | Dennis Cutrer | Pharmacist | 28720 Walker South Rd, Walker, LA 70785 | 2014-08-27 |
1497011548 | April Taylor Sanchez | Dermatology | 29799 Walker Rd S, Walker, LA 70785 | 2012-04-03 |
1457622219 | Village Pharmacy | Pharmacy | 29811 Walker South Rd., Walker, LA 70785 | 2012-01-25 |
1760765572 | Donny Luke Bourgeois | Pharmacist | 29881 Walker South Road, Walker, LA 70785 | 2011-09-28 |
1689962821 | Village Pharmacy 2 | Home Health | 29811 Walker South Rd, Walker, LA 70785 | 2011-07-20 |
1316237928 | Village Pharmacy At Walker | Pharmacy | 29811 Walker South Road, Walker, LA 70785 | 2011-04-15 |
1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
Find all providers in zip 70785 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285148551 | Shanette Louise Dominick | Psychologist | 702 Highland View Dr, Youngsville, LA 70592-6185 | 2017-11-25 |
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 |
Find all providers with the same taxonomy |
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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.