Brayton, Kimberly Joy

Brayton, Kimberly Joy is an sole proprietor health care provider with primary practice located at 92 Bay St , Glens Falls NY 12801-3031. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brayton, Kimberly Joy can be contacted via phone (518) 480-3188.

Contact Information

Primary practice address
92 Bay St Glens Falls NY 12801-3031
Phone: (518) 480-3188
Fax: (518) 480-3189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016568 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016568 New York

Profile Details

NPI number 1295725893
LBN Legal business name Brayton, Kimberly Joy
Credentials PH.D., J.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Nov 3rd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295725893 NPPES
New York MEDICAID 02694246

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