DR. Kimberly Gerisse Vandale, PH.D.

NPI #1053633974 in Mount Clemens, Michigan

Provider Information

NPI Number: 1053633974
Entity Type: Individual
Name: DR. Kimberly Gerisse Vandale, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Feb 19, 2010
Last Updated: Feb 9, 2011

Practice Location

Address: 116 MARKET ST
Address 2: PERCEPTIONS COUNSELING SERVICES
City: Mount Clemens
State: Michigan
ZIP Code: 48043-5674
Phone: (586) 465-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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