KIMBERLY LOUCKS


Address: 2580 Foxfield Rd Ste 101, Saint Charles, IL 60174-1403
Phone: 6307979332

KIMBERLY LOUCKS (NPI# 1447722129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447722129
Entity Type Individual
Full Name KIMBERLY LOUCKS
Credential PSY.D
Practice Address 2580 Foxfield Rd Ste 101
Saint Charles
IL 60174-1403
Practice Telephone 6307979332
Practice Fax Number 6302463410
Mailing Telephone 6307979332
Mailing Fax Number 6302463410
Enumeration Date 2018-12-19
Last Update Date 2019-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071.009911 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2580 FOXFIELD RD STE 101
City SAINT CHARLES
State IL
Zip Code 60174-1403

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467757013 Carrie Lewis Psychologist 1049 1st Capitol Dr, Saint Charles, MO 63301-1952 2011-01-12
1689993164 Jennifer Lynn Evans Psychologist 2451 Executive Dr, Suite 103, Saint Charles, MO 63303-5606 2010-05-24
1932331329 Della Madeline Halper Psychologist 2210 Dean St Ste I, Saint Charles, IL 60175-1067 2009-08-18
1871769406 Susic Psychological Consulting, PC Psychologist 2451 Executive Dr Ste 103, Saint Charles, MO 63303-5606 2008-05-04
1467524918 Cherry Dee Weber Psychologist 80 Dunham Pl, Saint Charles, IL 60174-5701 2006-11-13
1609314277 James Linsin Psychologist 58 Portwest Ct, Saint Charles, MO 63303-5985 2017-02-03
1235599341 Chalenna C. Cassell Psychologist 1551 Wall St, Saint Charles, MO 63303-3539 2016-03-02
1417215831 Tanya Christina Gluzerman Psychologist 3381 W Main St, Suite 1, Saint Charles, IL 60175-1008 2012-04-24
1629309877 Michelle Bidwell Psychologist 1120 E Main St, Suite 101, Saint Charles, IL 60174-2287 2010-01-27
1982880548 Amy Joy Marty Psychologist 102 Compass Point Dr, Saint Charles, MO 63301 2008-01-14
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Competitor

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City SAINT CHARLES
Zip Code 60174

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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