Individual
PRISCILLA KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6929 W 130TH ST, 202, PARMA, OH 44130-7895
(440) 887-9190
(440) 887-9196
Mailing address
6929 W 130TH ST, 202, PARMA, OH 44130-7895
(440) 887-9190
(440) 887-9196
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2733466
—
OH
Enumeration date
08/11/2006
Last updated
06/12/2009
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