Individual
DR. GREG KIDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
630 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1927
(267) 861-3635
Mailing address
1537 LEXINGTON DR, DRESHER, PA 19025-1255
(215) 641-0808
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
008606-L
PA
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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