Rennie, Kimberly M

Rennie, Kimberly M is an individual health care provider with primary practice located at 6410 Fannin St Ste 824 , Houston TX 77030-3000. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Rennie, Kimberly M can be contacted via phone (713) 500-7840.

Contact Information

Primary practice address
6410 Fannin St Ste 824 Houston TX 77030-3000
Phone: (713) 500-7840
Fax: (713) 486-0860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2478-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2478 Wisconsin
Behavioral Health & Social Service Providers / Health 103TH0004X 2478-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 36245 Texas

Profile Details

NPI number 1336193341
LBN Legal business name Rennie, Kimberly M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Mar 17th, 2018 - about 8 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 1336193341 NPPES
Other 007906261U HUMANA
MEDICAID 39143300 HUMANA

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