Individual
DR. ELIZABETH PATRICE MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4601 MARKET ST FL 3, PHILADELPHIA, PA 19139-4636
(215) 590-7555
Mailing address
236 ROCK ST, PHILADELPHIA, PA 19128-3740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
024613
NY
103T00000X
Psychologist
Primary
PS019639
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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