Provider Demographics
NPI:1679587588
Name:MCGLOTHIN, KIMBERLY GAYE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:GAYE
Last Name:MCGLOTHIN
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:201 CHELMSFORD ST
Mailing Address - Street 2:FAMILY ASSOCIATES OF MERRIMACK VALLEY
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:978-256-1467
Mailing Address - Fax:978-256-7465
Practice Address - Street 1:201 CHELMSFORD ST
Practice Address - Street 2:FAMILY ASSOCIATES OF MERRIMACK VALLEY
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:978-256-1467
Practice Address - Fax:978-256-7465
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8192103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist