Leslie A. Kimball
Clinical Psychologist Clinical Child & Adolescent Psychologist
1308 Sherwood Ave
Richmond
, Virginia 23220-1210
Leslie A. Kimball
Clinical Psychologist Clinical Child & Adolescent Psychologist
1308 Sherwood Ave
Richmond
, Virginia 23220-1210
(804) 342-7619
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Leslie A. Kimball
- Po Box 91734
- Richmond, VA
- Zip : 23291-1734
- Fax : (804) 342-7619
- Phone : (804) 358-6100
Second Address
- Leslie A. Kimball
- 1308 Sherwood Ave
- Richmond, VA
- Zip : 23220-1210
- Fax : (804) 828-9493
- Phone : (804) 828-3129
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 0810003386 | VA |
| Y | 103TC0700X | Clinical Psychologist | 0810003386 | VA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 0810003386 | VA |
National Provider Identifier
| NPI | 1134209349 |
|---|---|
| Provider Name | Leslie A. Kimball |
| First Address | Richmond, VA 23291-1734 |
| Second Address | Richmond, VA 23220-1210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 21/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010144329 541581185 | (05) | VA |
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.