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Individual

MS. ELIZABETH MADELEINE ORTON KINGFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1221 LOCUST ST FL 2, PHILADELPHIA, PA 19107-5570
(484) 224-5520
Mailing address
1221 LOCUST ST FL 2, PHILADELPHIA, PA 19107-5570
(484) 224-5520

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018927
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/15/2016
Last updated
12/28/2019
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