Provider Demographics
NPI:1265867030
Name:MING, SIRI (MA)
Entity Type:Individual
Prefix:MS
First Name:SIRI
Middle Name:
Last Name:MING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 S CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2601
Mailing Address - Country:US
Mailing Address - Phone:707-616-0118
Mailing Address - Fax:
Practice Address - Street 1:218 S CASTLE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-2601
Practice Address - Country:US
Practice Address - Phone:707-616-0118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst