Individual
SHERYL KINGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4355
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220999
UNISON
OH
01
—
000000509169
ANTHEM
—
05
—
0838740
—
OH
01
—
363706
WELLCARE
OH
01
—
4208975
AETNA
OH
01
—
680013254
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
12/20/2020
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