Basic Information
| Provider Information | |||||||||
| NPI: | 1427290683 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | APPEL | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | KATHLEEN | ||||||||
| NamePrefix: | |||||||||
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| Credential: | M.A. MFT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | APPEL | ||||||||
| OtherFirstName: | KIM | ||||||||
| OtherMiddleName: | K | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 14550 SHERMAN WAY | ||||||||
| Address2: | |||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914052210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189014879 | ||||||||
| FaxNumber: | 8189971370 | ||||||||
| Practice Location | |||||||||
| Address1: | 14550 SHERMAN WAY | ||||||||
| Address2: | |||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914052210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189014879 | ||||||||
| FaxNumber: | 8189971370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2009 | ||||||||
| LastUpdateDate: | 11/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225400000X | IMF 58918 | CA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | 106H00000X | LMFT86614 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.