Organization Name: | KAREN KINGSLEY, PH.D. |
NPI Number: | 1144360157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN KINGSLEY (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 22563 Forest Manor Dr Ashburn |
State: | VA US |
Postal Code: | 201486900 |
Phone Number: | 7037239404 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810001562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |