Provider Demographics
NPI:1295869691
Name:COMERFORD, KIMBERLEE F
Entity type:Individual
Prefix:MS
First Name:KIMBERLEE
Middle Name:F
Last Name:COMERFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KIMBERLEE
Other - Middle Name:
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 MICHAELSON DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1355
Mailing Address - Country:US
Mailing Address - Phone:609-458-2799
Mailing Address - Fax:
Practice Address - Street 1:6 WHITE HORSE PIKE STE 1B
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035
Practice Address - Country:US
Practice Address - Phone:609-458-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
NJ44SC011730001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist