Individual
DR. KATHLEEN DEN BLEYKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
2461 LITITZ PIKE, LANCASTER, PA 17601
(717) 560-3525
(717) 560-3995
Mailing address
2461 LITITZ PIKE, LANCASTER, PA 17601
(717) 560-3525
(717) 560-3995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009155L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01925701
CAPITAL BLUE CROSS
—
01
—
DE561211
HIGHMARK BLUE SHIELD
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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