Individual
DR. MARY KATHLEEN PROSPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4450 BELDEN VILLAGE ST NW, SUITE 202, CANTON, OH 44718-2596
(330) 492-8494
(330) 492-8294
Mailing address
4450 BELDEN VILLAGE ST NW, SUITE 202, CANTON, OH 44718-2596
(330) 492-8494
(330) 492-8294
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
OH4438
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215378
—
OH
Enumeration date
08/30/2005
Last updated
03/01/2011
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