Provider Demographics
NPI:1669811709
Name:WALHEIM, KIMBERLY A (LPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:WALHEIM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:A
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1025 S COCALICO RD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9545
Mailing Address - Country:US
Mailing Address - Phone:717-606-7652
Mailing Address - Fax:717-336-4014
Practice Address - Street 1:222 S MARKET ST
Practice Address - Street 2:SUITE 104
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2439
Practice Address - Country:US
Practice Address - Phone:717-779-6639
Practice Address - Fax:717-361-9100
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006979101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional