Provider Demographics
NPI:1225851108
Name:KIFFEL, ESTHER (MA, CAS, NCSP)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:KIFFEL
Suffix:
Gender:F
Credentials:MA, CAS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4517 HAZELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3302
Mailing Address - Country:US
Mailing Address - Phone:410-396-9098
Mailing Address - Fax:
Practice Address - Street 1:4517 HAZELWOOD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3302
Practice Address - Country:US
Practice Address - Phone:410-396-9098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool