Provider Demographics
NPI:1821446204
Name:MEIJER, KIM FRANKA MARIA
Entity Type:Individual
Prefix:MISS
First Name:KIM
Middle Name:FRANKA MARIA
Last Name:MEIJER
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 1:970 KENT AVE
Mailing Address - Street 2:APT 105
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4474
Mailing Address - Country:US
Mailing Address - Phone:347-743-6281
Mailing Address - Fax:
Practice Address - Street 1:970 KENT AVE
Practice Address - Street 2:APT 105
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4474
Practice Address - Country:US
Practice Address - Phone:347-743-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001568106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist