Kingston, Priscilla
Kingston, Priscilla is an sole proprietor health care provider with primary practice located at 6929 W 130Th St 202, Parma OH 44130-7895. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kingston, Priscilla can be contacted via phone (440) 887-9190.Contact Information
Primary practice address
6929 W 130Th St 202
Parma OH 44130-7895
Phone: (440) 887-9190
Fax: (440) 887-9196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6267 | Ohio |
Profile Details
| NPI number | 1578574745 |
|---|---|
| LBN Legal business name | Kingston, Priscilla |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jun 12th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578574745 | NPPES |
| Ohio | MEDICAID | 2733466 |
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