National Provider Identifier
Alicia Kimmerly, LCAT
Alicia Kimmerly, LCAT is listed in the NPPES registry with a primary specialty of Art Therapist in Silver Creek, NY and a listed phone number of (716) 450-1594.
Profile Overview
- NPI
- 1124871389
- Provider Type
- Individual
- Primary Specialty
- Art Therapist
- Enumeration Date
- April 08, 2024
- Last Updated
- April 08, 2024
Practice Location
- 260 Central Ave
- Silver Creek, NY 14136-1222
Phone: (716) 450-1594
Mailing Address
- 18 Lodi St
- Forestville, NY 14062-9552
Specialties
- Art Therapist (221700000X)
Full Record
- NPI
- 1124871389
- Entity Type
- Individual
- Last Name
- Kimmerly
- First Name
- Alicia
- Credential
- LCAT
- Mailing Street Address
- 18 Lodi St
- Mailing City
- Forestville
- Mailing State
- NY
- Mailing ZIP Code
- 14062-9552
- Mailing Country
- US
- Mailing Phone
- (716) 450-1594
- Practice Street Address
- 260 Central Ave
- Practice City
- Silver Creek
- Practice State
- NY
- Practice ZIP Code
- 14136-1222
- Practice Country
- US
- Practice Phone
- (716) 450-1594
- Enumeration Date
- April 08, 2024
- Last Updated
- April 08, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Art Therapist (221700000X)