Provider Demographics
NPI:1609541622
Name:ZINGARO, KAELA MARIE
Entity Type:Individual
Prefix:
First Name:KAELA
Middle Name:MARIE
Last Name:ZINGARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2857
Mailing Address - Country:US
Mailing Address - Phone:724-714-6790
Mailing Address - Fax:
Practice Address - Street 1:107 W ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-2857
Practice Address - Country:US
Practice Address - Phone:724-714-6790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health