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Kimberly Dick

Addiction Psychologist (Substance Use Disorder)

4422 E State Blvd
Fort Wayne , Indiana 46815-6917

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Kimberly Dick

Addiction Psychologist (Substance Use Disorder)

4422 E State Blvd
Fort Wayne , Indiana 46815-6917

(317) 520-8200

Write a Review Save Call

Kimberly Dick

Addiction Psychologist (Substance Use Disorder)

4422 E State Blvd
Fort Wayne , Indiana 46815-6917

(317) 520-8200 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Psychologist (Substance Use Disorder)

Languages spoken

  • English

Location

4422 E State Blvd Fort Wayne , Indiana 46815-6917

First Address

  • Kimberly Dick
  • 3500 Depauw Blvd Ste 3070
  • Indianapolis, IN
  • Zip : 46268-6135
  • Fax : (317) 520-8200
  • Phone : (855) 324-0885

Second Address

  • Kimberly Dick
  • 4422 E State Blvd
  • Fort Wayne, IN
  • Zip : 46815-6917
  • Fax : (317) 520-8200
  • Phone : (260) 471-9263

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FAQs


Where did Kimberly Dick attend graduate school?

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Where did Kimberly Dick do her residency?

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Where did Kimberly Dick do her fellowship?

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Is Kimberly Dick board certified?

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What type of doctor is Kimberly Dick

Addiction Psychologist (Substance Use Disorder)

In what state does Kimberly Dick practice in?

Indiana

Where is Kimberly Dick ’s practice located?

4422 E State Blvd , Fort Wayne, Indiana, 46815-6917

What is Kimberly Dick ’s gender?

Female

Is Kimberly Dick a sole practitioner?

No

Is Kimberly Dick accepting new patients?

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What languages does Kimberly Dick speak?

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Does Kimberly Dick accept insurance?

Yes, Kimberly Dick accepts insurance

Does Kimberly Dick offers telemedicine?

Kimberly Dick has not indicated if she offers telemedicine

What is Kimberly Dick ’s professional license number?

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What is Kimberly Dick ’s NPI number?

1346804390

Does Kimberly Dick have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TA0400X Addiction Psychologist (Substance Use Disorder)

National Provider Identifier

NPI 1346804390
Provider Name Kimberly Dick
First Address Indianapolis, IN 46268-6135
Second Address Fort Wayne, IN 46815-6917
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/04/2019
Last Update Date 25/04/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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