Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3017 | NJ |
N | 103T00000X | Psychologist | 3017 | NJ |
N | 103TC1900X | Counseling Psychologist | 3017 | NJ |
NPI | 1033233291 |
---|---|
Provider Name | Dr. Kim Carlisle Francis |
First Address | Berkeley Heights, NJ 07922-2332 |
Second Address | Berkeley Heights, NJ 07922-2332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |