Provider Demographics
NPI:1578878377
Name:SPEARING, KIMBERLY FRINE' (MS)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:FRINE'
Last Name:SPEARING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 SAN JUAN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-2831
Mailing Address - Country:US
Mailing Address - Phone:904-783-2579
Mailing Address - Fax:
Practice Address - Street 1:6316 SAN JUAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2831
Practice Address - Country:US
Practice Address - Phone:904-783-2579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health