Kimbles, Samuel Lewis

Kimbles, Samuel Lewis is an individual health care provider with primary practice located at 818 Cherry Street , Santa Rosa CA 95404. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kimbles, Samuel Lewis can be contacted via phone (707) 544-6647.

Contact Information

Primary practice address
818 Cherry Street Santa Rosa CA 95404
Phone: (707) 544-6647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY3687 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY3687 California

Profile Details

NPI number 1184957730
LBN Legal business name Kimbles, Samuel Lewis
Credentials PL.D. PSYCHOLOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2009
Last updated Sep 15th, 2009 - about 17 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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