Basic Information
| Provider Information | |||||||||
| NPI: | 1871792614 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARTHUR | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | FAITH | ||||||||
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| Credential: | M.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 E GILBERT ST | ||||||||
| Address2: | MOBILE A | ||||||||
| City: | SAN BERNARDINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 924151004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9093876942 | ||||||||
| FaxNumber: | 9094637625 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 E GILBERT ST | ||||||||
| Address2: | MOBILE A | ||||||||
| City: | SAN BERNARDINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 924151004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9093876942 | ||||||||
| FaxNumber: | 9094637625 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2007 | ||||||||
| LastUpdateDate: | 07/12/2007 | ||||||||
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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 | 103T00000X | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.