Provider Demographics
NPI:1255507802
Name:ESPER, KIMBERLY M (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:ESPER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934B W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4937
Mailing Address - Country:US
Mailing Address - Phone:814-835-3430
Mailing Address - Fax:
Practice Address - Street 1:1934B W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4937
Practice Address - Country:US
Practice Address - Phone:814-835-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2012-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health