National Provider Identifier
Kimberly Sue Walitzer, PHD
Kimberly Sue Walitzer, PHD is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Psychologist in Brockport, NY and a listed phone number of (585) 637-3905.
Profile Overview
- NPI
- 1275003659
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Psychologist
- Enumeration Date
- November 28, 2018
- Last Updated
- November 28, 2018
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 637-3905
Specialties
- Addiction (Substance Use Disorder) Psychologist (103TA0400X)
Full Record
- NPI
- 1275003659
- Entity Type
- Individual
- Last Name
- Walitzer
- First Name
- Kimberly
- Middle Name
- Sue
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 300 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1118
- Mailing Country
- US
- Mailing Phone
- (585) 637-3905
- Mailing Fax
- (585) 637-4990
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 637-3905
- Practice Fax
- (585) 637-2375
- Enumeration Date
- November 28, 2018
- Last Updated
- November 28, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Psychologist (103TA0400X)