Vanhaitsma, Kimberly Sue

Vanhaitsma, Kimberly Sue is an sole proprietor health care provider with primary practice located at 1425 Horsham Rd , North Wales PA 19454-1320. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vanhaitsma, Kimberly Sue can be contacted via phone (215) 371-1895.

Contact Information

Primary practice address
1425 Horsham Rd North Wales PA 19454-1320
Phone: (215) 371-1895
Fax: (215) 371-3015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS006311L Pennsylvania

Profile Details

NPI number 1063655371
LBN Legal business name Vanhaitsma, Kimberly Sue
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2009
Last updated Apr 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063655371 NPPES
Pennsylvania MEDICAID 01539769

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