Kimberly Wilcox
Addiction Psychologist (Substance Use Disorder)
25166 Marion Ave Ste 112
Punta Gorda
, Florida 33950-4017
Kimberly Wilcox
Addiction Psychologist (Substance Use Disorder)
25166 Marion Ave Ste 112
Punta Gorda
, Florida 33950-4017
(941) 467-6347
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Kimberly Wilcox
- 2215 Rio De Janeiro Ave
- Punta Gorda, FL
- Zip : 33983-8674
- Phone : (941) 467-6347
Second Address
- Kimberly Wilcox
- 25166 Marion Ave Ste 112
- Punta Gorda, FL
- Zip : 33950-4017
- Phone : (941) 467-6347
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 4729CAP | FL |
National Provider Identifier
| NPI | 1447498589 |
|---|---|
| Provider Name | Kimberly Wilcox |
| First Address | Punta Gorda, FL 33983-8674 |
| Second Address | Punta Gorda, FL 33950-4017 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2009 |
| Last Update Date | 26/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.