Organization Name: | KINDERBUCH US P C |
NPI Number: | 1073759809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETINA L BURDEN (MANAGER OF OPERATIONS) |
Mailing Address: | 150 Monument Rd Suite 107 Bala Cynwyd |
State: | PA US |
Postal Code: | 190041702 |
Phone Number: | 8777605437 |
Fax Number: | 8777605437 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS016206 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |