Provider Demographics
NPI:1063667954
Name:KLIMP, NANCY OLINE (MA,, MFT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:OLINE
Last Name:KLIMP
Suffix:
Gender:F
Credentials:MA,, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4153 EL CAMINO WAY STE A
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-4034
Mailing Address - Country:US
Mailing Address - Phone:650-493-1945
Mailing Address - Fax:
Practice Address - Street 1:4153 EL CAMINO WAY STE A
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-4034
Practice Address - Country:US
Practice Address - Phone:650-493-1945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM.F.T. 41410101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health