Provider Demographics
NPI:1538468616
Name:KIMBLE, BARBARA SMITH
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SMITH
Last Name:KIMBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-2307
Mailing Address - Country:US
Mailing Address - Phone:713-731-4752
Mailing Address - Fax:713-731-4753
Practice Address - Street 1:8615 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-2307
Practice Address - Country:US
Practice Address - Phone:713-731-4752
Practice Address - Fax:713-731-4753
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst