Individual ProviderKimberly Ann DorsettPsychologistBehavioral Health & Social Service ProvidersPractice Address400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142(805) 586-3268PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Ann Dorsett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1952550808Provider TypeIndividualFull NameDorsett, Kimberly AnnTitleDr.CredentialPH.D.GenderFemaleSole ProprietorNoEnumeration Date9/16/2008Last Updated10/2/2019Contact InformationPractice LocationPractice Address400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142Phone(805) 586-3268FaxUnlisted FaxMailing LocationMailing Address400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142Phone(805) 586-3268FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense31009CaliforniaCode103TC2200XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense31009CaliforniaCode103TM1800XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense31009California