Provider Demographics
NPI:1629003553
Name:ORAM, KIMBERLY B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:B
Last Name:ORAM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:B
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:4216 NE HYLINE DR
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3830
Mailing Address - Country:US
Mailing Address - Phone:772-232-0786
Mailing Address - Fax:
Practice Address - Street 1:150 SW CHAMBER CT
Practice Address - Street 2:SUITE 105
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3413
Practice Address - Country:US
Practice Address - Phone:772-809-9000
Practice Address - Fax:772-809-9087
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6336103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY6336OtherFLORIDA LICENSE