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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457344079 NPPES
Ohio MEDICAID 0215378

Popular Providers