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NPI Profile for KENCREST SERVICES in BLUE BELL, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI Number | 1922683473 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/16/2021 | |
| Last updated | 03/16/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENCREST SERVICES
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KENCREST SERVICES