Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1265862528 |
---|---|
Provider Name | Dr. Kimberly Rohde |
First Address | Los Angeles, CA 90017-1896 |
Second Address | Los Angeles, CA 90017-1896 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2013 |
Last Update Date | 30/12/2019 |