Provider Demographics
NPI:1720296643
Name:FLEMKE, KIMBERLY (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:FLEMKE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 E YORK ST
Mailing Address - Street 2:STE. #313
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3026
Mailing Address - Country:US
Mailing Address - Phone:215-764-5658
Mailing Address - Fax:
Practice Address - Street 1:2424 E YORK ST
Practice Address - Street 2:STE. #313
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3026
Practice Address - Country:US
Practice Address - Phone:215-764-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist