Individual
FRED B MCKINNEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1489 BALTIMORE PIKE, BUILDING 200 SUITE 250, SPRINGFIELD, PA 19064-3958
(610) 544-2110
Mailing address
1295 N PROVIDENCE RD, APT. G301, MEDIA, PA 19063-1234
(484) 442-8049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-002595-L
PA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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