Doctor Name: | KATHRYN MCKENDRY |
NPI Number: | 1386064483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, CRC |
License Number: | PC007220 |
Business Practice Address: | 860 Broad St Suite 101 Emmaus, PA - 180493630 |
Business Phone Number: | 5703357531 |
Business Fax Number: | |
Mailing Address: | 49 Kern Dr, PERKASIE |
State: | PA |
Postal Code: | 189444144 |
Phone Number: | 5703357531 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC007220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |