Kimberly Lou Eddy, MA is a
Counselor - Addiction (substance Use Disorder) based in Simi Valley, California. Kimberly Lou Eddy is licensed to practice in * (Not Available) (license number ) and her current practice location is
2650 Jones Way Ste 10, Simi Valley, California. She can be reached at her office (for appointments etc.) via phone at
(805) 522-1844.
NPI number for Kimberly Lou Eddy is 1265600597 and her current mailing address is 8850 Penfield Ave, Northridge, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265600597.
Healthcare Provider's Profile
Full Name | Kimberly Lou Eddy |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 2650 Jones Way Ste 10, Simi Valley, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265600597
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 02/09/2023
Medical Identifiers
Medical identifiers for Kimberly Lou Eddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265600597 | NPI | - | NPPES |
25043 | Other | CA | PSYCHOLOGIST |
25043 | Other | CA | CA BOARD OF PSYCHOLOGY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 25043 (California) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Lou Eddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Lou Eddy, MA 8850 Penfield Ave, Northridge, CA 91324-3226 Ph: () - | Kimberly Lou Eddy, MA 2650 Jones Way Ste 10, Simi Valley, CA 93065-1215 Ph: (805) 522-1844 |
Reviews and Comments