Provider Demographics
NPI:1992313209
Name:KING, JONATHAN BENTLEY (MS, PSYD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:BENTLEY
Last Name:KING
Suffix:
Gender:M
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3484 BEECHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2943
Mailing Address - Country:US
Mailing Address - Phone:760-616-0174
Mailing Address - Fax:
Practice Address - Street 1:6315 FORBES AVE STE B016
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1700
Practice Address - Country:US
Practice Address - Phone:412-570-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No104100000XBehavioral Health & Social Service ProvidersSocial Worker