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Contact Information

KIMBERLY CARNEGIE BRISCOE, PHD/DSW
5612 E 117TH AVE
CROWN POINT, IN46307
 Phone: 219-814-2793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Ph.D. Medical Genetics

170100000X
Indicates primary specialty

NPI Profile & details for KIMBERLY CARNEGIE BRISCOE · (Female)

NPI # 1255649398
Status Active
Credentials PHD/DSW
Entity Individual
Enumeration date 09/23/2010
Last updated 09/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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