Provider Demographics
NPI:1629129465
Name:NAPIERSKIE, KIMBER LEIGH (MFT)
Entity Type:Individual
Prefix:
First Name:KIMBER
Middle Name:LEIGH
Last Name:NAPIERSKIE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 CRANE ST
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4213
Mailing Address - Country:US
Mailing Address - Phone:650-566-1705
Mailing Address - Fax:
Practice Address - Street 1:1220 UNIVERSITY DR STE 103
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4265
Practice Address - Country:US
Practice Address - Phone:650-223-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41815106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist