Kimberly Stark, Psyd, LLC

NPI #1972817104 in Marion, Ohio

Provider Information

NPI Number: 1972817104
Entity Type: Organization
Organization Name: Kimberly Stark, Psyd, LLC
Primary Specialty: Psychologist - Clinical Child & Adolescent
Enumeration Date: Jul 29, 2010
Last Updated: Jul 29, 2010

Practice Location

Address: 1339 1/2 MOUNT VERNON AVE
City: Marion
State: Ohio
ZIP Code: 43302-5626
Phone: (740) 751-7860

Authorized Official

Name: DR. KIMBERLY ANN STARK-DICKASON, PSYD
Title: PSYCHOLOGIST
Phone: (740) 751-7860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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