Most Relevant Information
Provider Data
| NPI Number: | 1003315300 |
| Provider Name: | KATY ANNE RENDINARO KIMPLE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/02/2018 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
39 BANK ST
NEWFIELD
NY
148679311
Practice Location Phone/Fax
| Phone: | 5184205169 |
| Fax: |
Provider Mailing Location
39 BANK ST
NEWFIELD
NY
148679311
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |