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JON KIMPTON PH.D.

Clinical Neuropsychologist

Wakefield, Rhode Island

Provider NPI: 1134136963

Provider Information:
 JON  KIMPTON PH.D.
Gender: M
Sole Proprietor


Practice Location:
481A KINGSTOWN RD  WAKEFIELD, RI 02879 US
Tel: 401-789-2306  Fax: 401-789-2307

Business Mailing Address:
481A KINGSTOWN RD  WAKEFIELD, RI 02879 US
Tel: 401-789-2306  Fax: 401-789-2307

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
RIPS00701
X103T00000XBehavioral Health & Social Service Providers
Psychologist
RIPS00701

Other Provider Identifiers:

IssuerNumberStateType
UNITED HEALTHCARE0500760RI01
JK31307RI05
BLUE CROSS/BLUE SHIELD RI23359-0RI01
BLUE CHIP408420RI01
UNITED BEHAVIORAL HEALTH61-59401RI01
RI LICENSE PSYCHOLOGYPS00701RI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS RI - Page 1

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