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Dr. Kimberly Shaffer Tate, PSYD
Clinical Psychologist in Centerville, Ohio
NPI 1154418903

Kimberly Shaffer Tate is a Clinical Psychologist based in Centerville, OH and is specialized in Clinical. Kimberly Shaffer Tate practices in Centerville, OH and has the professional credentials of PSYD. The NPI Number for Kimberly Shaffer Tate is 1154418903 and holds a License No. 4664 (Ohio).

The current practice location address for Kimberly Shaffer Tate is 35 Iron Gate Park Dr., Centerville, OH and can be reached out via phone at 937-435-8864 and via fax at 937-435-8264.

Location: 35 Iron Gate Park Dr., Centerville, OH, 45441-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154418903
Provider Name
Kimberly Shaffer Tate
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
35 Iron Gate Park Dr., Centerville, OH, 45441-0158
Phone Number
937-435-8864
Fax Number
937-435-8264
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028545000 01 OH MAGELLAN PIN
22000000356767 01 OH ANTHEM PIN
172428110968 01 OH HUMANA PIN
281859 01 OH VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
35 Iron Gate Park Dr.
City
Centerville
State
Ohio
Zip
45459-0000
Phone Number
937-435-8864
Fax Number
937-435-8264
person
Provider Business Mailing Address Details
Address
35 Iron Gate Park Dr.
City
Centerville
State
Ohio
Zip
45459-0000
Phone Number
937-435-8864
Fax Number
937-435-8264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
4664 (Ohio)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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