DR. Kim Deffebach, PH.D.

NPI #1417174368 in Melbourne Beach, Florida

Provider Information

NPI Number: 1417174368
Entity Type: Individual
Name: DR. Kim Deffebach, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1101 RIVER RD
City: Melbourne Beach
State: Florida
ZIP Code: 32951-2533
Phone: (321) 223-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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