Individual provider · Type 1 NPI

Kimberly Gerisse Vandale, PhD

Psychologist · Mount Clemens, MI

NPI number 1053633974 Active

Practice location

116 Market St, Perceptions Counseling Services
Mount Clemens, MI 48043-5674

Fax (586) 783-2761

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301014352 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1053633974

Kimberly Gerisse Vandale, PhD's National Provider Identifier is 1053633974, issued on Feb 19, 2010. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Mount Clemens, MI. The record was last updated on Feb 9, 2011.