| Kimberly Stark, Psyd, Llc | |
|
1339 1/2 Mount Vernon Ave Marion OH 43302-5626 | |
| (740) 751-7860 | |
| Not Available |
| Full Name | Kimberly Stark, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1339 1/2 Mount Vernon Ave, Marion, Ohio |
| Authorized Official Name and Position | Kimberly Ann Stark-dickason (PSYCHOLOGIST) |
| Authorized Official Contact | 7407517860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Stark, Psyd, Llc 1339 1/2 Mount Vernon Ave Marion OH 43302-5626 Ph: (740) 751-7860 | Kimberly Stark, Psyd, Llc 1339 1/2 Mount Vernon Ave Marion OH 43302-5626 Ph: (740) 751-7860 |
| NPI Number | 1972817104 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972817104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6546 (Ohio) | Primary |
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