Individual provider · Type 1 NPI

Kimberly Shaffer Tate, PSY.D.

Clinical Psychologist · Centerville, OH

NPI number 1154418903 Active

Practice location

35 Iron Gate Park Dr.
Centerville, OH 45459-0000

Fax (937) 435-8264

Mailing address

PO Box 41158
Centerville, OH 45441-0158

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4664 (OH)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1154418903

Kimberly Shaffer Tate, PSY.D.'s National Provider Identifier is 1154418903, issued on Oct 5, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Centerville, OH. The record was last updated on Jul 9, 2007.