Doctor Name: | KRISTEN DUDLEY |
NPI Number: | 1083006373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | PS017797 |
Business Practice Address: | 200 S Clinton St Doylestown, PA - 189018400 |
Business Phone Number: | 2153457868 |
Business Fax Number: | 2153456695 |
Mailing Address: | 10 S Clinton St, Suite 302 DOYLESTOWN |
State: | PA |
Postal Code: | 189014220 |
Phone Number: | 2153455083 |
Fax Number: | 2156318064 |
NPI Enumeration Date: | 02/24/2015 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS017797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |