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DR. KIMBERLY ANN STARK-DICKASON PSYD NPI 1770718629


NPI Information

NPI: 1770718629
Provider Name: DR. KIMBERLY ANN STARK-DICKASON, PSYD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
75 CLAIREDAN DR
POWELL, OH
ZIP 43065
Phone: (614) 396-5665
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DR. Kimberly Ann Stark-dickason, PSYD is a clinical child and adolescent psychologist in Powell, OH with 17 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Kimberly Ann Stark-dickason, PSYD NPI is 1770718629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 CLAIREDAN DR
POWELL, OH
ZIP 43065-064
Phone: (614) 396-5665
Fax: (614) 396-5670

The NPI 1770718629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 5/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent6546OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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