Speed, Kimberly Marie

Speed, Kimberly Marie is an individual health care provider with primary practice located at 205 Lake Tower Dr. , Hampton VA 23666. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Speed, Kimberly Marie can be contacted via phone (757) 838-8520.

Contact Information

Primary practice address
205 Lake Tower Dr. Hampton VA 23666
Phone: (757) 838-8520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003898 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001103 Virginia

Profile Details

NPI number 1437364866
LBN Legal business name Speed, Kimberly Marie
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 19 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 1437364866 NPPES
Virginia Other 383405 TRICARE
Virginia Other 294478 TRICARE
Virginia Other O802678M TRICARE

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