MS. KRISTRINAH ELIZABETH AYALA


Address: 3415 Metzerott Rd, College Park, MD 20740-4425
Phone: 3019355595

MS. KRISTRINAH ELIZABETH AYALA (NPI# 1073652350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073652350
Entity Type Individual
Full Name MS. KRISTRINAH ELIZABETH AYALA
Credential MS
Practice Address 3415 Metzerott Rd
College Park
MD 20740-4425
Practice Telephone 3019355595
Practice Fax Number 3019355044
Enumeration Date 2007-02-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LCO477 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD LISCENSE LCO477 01

Office Location

Street Address 3415 METZEROTT RD
City COLLEGE PARK
State MD
Zip Code 20740-4425

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City COLLEGE PARK
Zip Code 20740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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