Provider Demographics
NPI:1871792614
Name:ARTHUR, KIMBERLY FAITH (MA)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:FAITH
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E GILBERT ST
Mailing Address - Street 2:MOBILE A
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92415-1004
Mailing Address - Country:US
Mailing Address - Phone:909-387-6942
Mailing Address - Fax:909-463-7625
Practice Address - Street 1:900 E GILBERT ST
Practice Address - Street 2:MOBILE A
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92415-1004
Practice Address - Country:US
Practice Address - Phone:909-387-6942
Practice Address - Fax:909-463-7625
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist