National Provider Identifier Database

KIMBERLEY L SMITH DALY, BC-DMT, CADC-R, LPC – NPI #1134407299
Professional

Contact Information

KIMBERLEY L SMITH DALY, BC-DMT, CADC-R, LPC
10180 SE SUNNYSIDE RD
CLACKAMAS, OR  97015-8970
Phone: 503-571-9240
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Dance Therapist 225600000X

* Indicates primary specialty

NPI Profile & details for KIMBERLEY L SMITH DALY

NPI Number 1134407299
Credentials BC-DMT, CADC-R, LPC
Entity Individual
Enumeration date 07/22/2011
Last updated 03/29/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 001409
  • OR License #: BC-DMT-1131
  • OR License #: C5011
  • OR Other: C5011 OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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