Kinderbuch Us P C
Psychologist, Clinical in Bala Cynwyd, PA. Organization (NPI-2).
NPI number1073759809
StatusActive
Last updated in NPPESFeb 11, 2014
Details
- NPI
- 1073759809
- Entity type
- Organization (NPI-2)
- Legal business name
- Kinderbuch Us P C
- Organization subpart
- No
- Enumeration date
- Dec 29, 2008
- Last updated
- Feb 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 103G00000X | Clinical Neuropsychologist | PS016206 | PA | |
| 103TC0700X | Psychologist, Clinical | PS016206 | PA |
Practice location
150 Monument RdSuite 107
Bala Cynwyd, PA 19004-1702
Phone 877-760-5437 · Fax 877-760-5437
Mailing address
Po Box 5794Kingwood, TX 77325-5794
Phone 877-760-5437 · Fax 877-760-5437
Authorized official
Betina L Burden
Manager Of Operations
2816576052
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