Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY VERMILLION FOGARTY, JD, MA, BC-TMH
Active Sole ProprietorKIMBERLY VERMILLION FOGARTY, JD, MA, BC-TMH is a Marriage & Family Therapist healthcare provider located in LAGUNA BEACH, California. NPI 1003380049 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LAGUNA BEACH, CA
Registration Details
- NPI Number
- 1003380049
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2019 (7.6007866952183 yrs)
- Last Updated
- Jan 13, 2019
- Licenses
-
1600014 (OH)89459 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
580 BROADWAY ST STE 208LAGUNA BEACH, CA, 926514311Browse CA providers · Browse ZIP 92651
- Phone
- 9494249755
- Fax
- 9494880344
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in LAGUNA BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| BEVERLY A VENTURA | MFT | 1104928233 |
| MS. SHEILA RUTH DISKIN | MFT | 1164552816 |
| MS. KAREN ANN BOHAN | MFT | 1821216045 |
| MR. DAVID S LINDQUIST | MFT | 1821217241 |
| DR. ARI J NOVICK | PH.D., LMFT | 1295941151 |
| KATHERINE ELLEN BAXTER | MFT | 1467650838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.