Prospero, Mary Kathleen
Prospero, Mary Kathleen is an sole proprietor health care provider with primary practice located at 4450 Belden Village St Nw Suite 202, Canton OH 44718-2596. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Prospero, Mary Kathleen can be contacted via phone (330) 492-8494.Contact Information
Primary practice address
4450 Belden Village St Nw Suite 202
Canton OH 44718-2596
Phone: (330) 492-8494
Fax: (330) 492-8294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | OH4438 | Ohio |
Profile Details
| NPI number | 1457344079 |
|---|---|
| LBN Legal business name | Prospero, Mary Kathleen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Mar 1st, 2011 - about 14 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 | 1457344079 | NPPES |
| Ohio | MEDICAID | 0215378 |
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