Doctor Name: | DR. KATHRYN NAN HEALEY |
NPI Number: | 1023437282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PS003121L |
Business Practice Address: | 632 Yale Ave Swarthmore, PA - 190811927 |
Business Phone Number: | 6109524144 |
Business Fax Number: | 6106044397 |
Mailing Address: | 632 Yale Ave, SWARTHMORE |
State: | PA |
Postal Code: | 190811927 |
Phone Number: | 6109524144 |
Fax Number: | 6106044397 |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS003121L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |