Blackham, Kimberly
Blackham, Kimberly is an sole proprietor health care provider with primary practice located at 1 West Broad Street 11Th Floor, Bethlehem PA 18018-1801. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Blackham, Kimberly can be contacted via phone (336) 749-6596.Contact Information
Primary practice address
1 West Broad Street 11Th Floor
Bethlehem PA 18018-1801
Phone: (336) 749-6596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MF000920 | Pennsylvania |
Profile Details
| NPI number | 1124542774 |
|---|---|
| LBN Legal business name | Blackham, Kimberly |
| Credentials | PH.D., LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2017 |
| Last updated | Jul 26th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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