Provider Demographics
NPI:1700935558
Name:GALE-FLAHERTY, KIMBERLY SUSAN (LMHC)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:SUSAN
Last Name:GALE-FLAHERTY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:SUSAN
Other - Last Name:MACMURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:521 MOUNT HOPE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-2611
Mailing Address - Country:US
Mailing Address - Phone:508-431-7972
Mailing Address - Fax:774-306-3509
Practice Address - Street 1:521 MOUNT HOPE ST STE 203
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-2611
Practice Address - Country:US
Practice Address - Phone:508-431-7972
Practice Address - Fax:774-306-3509
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4975101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health