Provider Demographics
NPI:1336174168
Name:RING, KIMBERLY (MS,LPC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:RING
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 BUCKHEAD LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9629
Mailing Address - Country:US
Mailing Address - Phone:610-858-8743
Mailing Address - Fax:610-481-0088
Practice Address - Street 1:758 N BROOKSIDE RD
Practice Address - Street 2:
Practice Address - City:WESCOSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18106-9715
Practice Address - Country:US
Practice Address - Phone:610-858-8743
Practice Address - Fax:610-858-8743
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 002771101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03198301OtherCAPITAL BLUE CROSS
PA350928OtherMANAGED HEALTH NETWORK
PA182549804OtherUBH