Healthcare Provider Details

I. General information

NPI: 1336174168
Provider Name (Legal Business Name): KIMBERLY RING M.S.,LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

758 N BROOKSIDE RD
WESCOSVILLE PA
18106-9715
US

IV. Provider business mailing address

244 BUCKHEAD LN
DOUGLASSVILLE PA
19518-9629
US

V. Phone/Fax

Practice location:
  • Phone: 610-858-8743
  • Fax: 610-858-8743
Mailing address:
  • Phone: 610-858-8743
  • Fax: 610-481-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC 002771
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: