Individual
KATHLEEN BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3722 WHIPPLE AVE NW, CANTON, OH 44718
(330) 492-2006
(330) 492-2161
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5598
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2245654
—
OH
Enumeration date
11/09/2006
Last updated
07/22/2008
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